Organization Active NPI

Cumberland Convenient Care Medical Center

Doing business as Greenfield First Care

  • Family Medicine Physician
  • Greenfield, IN
National Provider Identifier
1063551422
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01028055A Issued in IN
Legal business name
CUMBERLAND CONVENIENT CARE MEDICAL CENTER
Doing business as
Greenfield First Care
Practice address
10 W Boyd Ave
Greenfield, IN 46140-1401
Phone
(317) 462-9909
Fax
(317) 462-5313
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Dr. Trevor T Lloyd-Jones, M.D.
Title
President
Phone
(317) 462-9909

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 01028055A IN Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 71000100A IN
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 71002243A IN

Addresses

Primary practice location

10 W Boyd Ave
Greenfield, IN 46140-1401

Mailing address

10 W Boyd Ave
Greenfield, IN 46140-1401
Phone (317) 462-9909

Other names 1

  • Greenfield First Care Doing business as

National Provider Directory

National Provider Directory

Locations

10 W Boyd Ave
Greenfield, IN 46140
Phone (317) 462-9909

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1063551422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W BOYD AVE",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401401",
            "telephone_number": "317-462-9909",
            "fax_number": "317-462-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W BOYD AVE",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401401",
            "telephone_number": "317-462-9909",
            "fax_number": "317-462-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND CONVENIENT CARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "LLOYD-JONES",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-462-9909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01028055A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000100A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002243A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield First Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.