Peter H Greenwalt, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35038788 Issued in OH

Practice address

850 Columbia Rd
Suite 200
Westlake, OH 44145-1493

Phone

(440) 808-1212

Fax

(440) 808-0321

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Shore Endoscopy Center

  • Gastroenterology Physician
  • Westlake, OH
  • NPI 1467474585
  NPD
• North Shore Pathology LLC

  • Clinical Medical Laboratory
  • Westlake, OH
  • NPI 1245591965
  NPD
• Govind K Mehta, M.D., Inc.

  • Otolaryngology Physician
  • Elyria, OH
  • NPI 1215200811
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1023039310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA RD",
            "address_2": "SUITE 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451493",
            "telephone_number": "440-808-1212",
            "fax_number": "440-808-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA RD",
            "address_2": "SUITE 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451493",
            "telephone_number": "440-808-1212",
            "fax_number": "440-808-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALT",
        "first_name": "PETER",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35038788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347431",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great River Cardiology, Inc
• Nancy L Grech, NP-C
• Mary Kay Greenberg, MD
• Alexandria Greene
• Gregory Greene, DO
• Maria Greszler
• Jennifer C Grimaldi, PT
• Patricia Griswold, M.A.
• Donna M. Gron, CNP
• Ewa M Gross-Sawicka, MD

• Gastroenterology Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.