Greenwich Medical, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

43807 Issued in CO

Legal business name

GREENWICH MEDICAL, P.C.

Doing business as

South Denver Rheumatology

Practice address

9570 S Kingston CT Ste 220
Englewood, CO 80112-6004

Phone

(303) 515-2912

Fax

(303) 957-5954

NPI assigned

Jun 29, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Laura P Barrera

Title

Manager

Phone

(303) 515-2912

Specialties & licenses 1

Addresses

Other names 1

• South Denver Rheumatology Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ndudi Okechukwu Oparaeche, MD

  • Rheumatology Physician
  • Englewood, CO
  • NPI 1639246705
  Medicare reassignment NPD

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1023246097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 S KINGSTON CT STE 220",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801126004",
            "telephone_number": "303-515-2912",
            "fax_number": "303-957-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 S KINGSTON CT STE 220",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801126004",
            "telephone_number": "303-515-2912",
            "fax_number": "303-957-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-515-2912",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "43807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Denver Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Denver Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Green, R. N.
• Leila Green
• Tyler J Green, MD
• Laura Greenberg, PA-C
• Deborah Louise Greenwall, M.D.
• Jenny Grego
• Stephanie A Gregory, M.A., BCBA
• Julia Grek, BCBA
• Grenhart & Associates, LLC
• Jean M Greos, M.D.

• Medical Specialty Clinic/Center in Englewood, CO
• Providers in Englewood, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.