Greenfield Family Practice Center PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREENFIELD FAMILY PRACTICE CENTER PLLC

Practice address

19141 Greenfield Rd
Detroit, MI 48235-6007

Phone

(313) 835-8500

Fax

(313) 835-3081

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Anthony Harris, MD

Title

Owner

Phone

(313) 835-8500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1053492983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44047",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482440047",
            "telephone_number": "313-835-8500",
            "fax_number": "313-835-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19141 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482356007",
            "telephone_number": "313-835-8500",
            "fax_number": "313-835-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD FAMILY PRACTICE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-835-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "080H20117",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Konrad Greene
• Nicole Lashawn Greene
• Terry Greene
• Tyyler Jordann Greene
• Aubrie Greenfelder, PA-C
• Greenfield RX LLC (Knight Drugs - Greenfield)
• Lysa Greenidge, REGISTERED NURSE
• Andrew Edmond Greenlee I, MA., MED., LPC
• Delores Louise Greenlee, MSN/ED, RN
• Antoine Danielle Greenm

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.