Active NPI
Martha M. Greenwood, M.D.
- Diagnostic Radiology Physician
- Hartford, CT
National Provider Identifier
1104802636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 029247
- Practice address
- 85 Seymour St
Suite 200
Hartford, CT 06106 - Phone
- (860) 246-6589
- Fax
- (860) 560-2849
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 029247 | CT | Primary |
Addresses
Primary practice location
85 Seymour St
Suite 200
Hartford, CT 06106
Mailing address
111 Founders Plaza
Suite 400
East Hartford, CT 06108
Phone (860) 291-6554
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001292474 | Medicaid | CT | |
| A2516306 | Other | CT | OXFORD |
| 010029247CT01 | Other | CT | ANTHEM BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tolland Imaging Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Tolland, CT
- NPI 1841470820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1104802636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FOUNDERS PLAZA",
"address_2": "SUITE 400",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "06108",
"telephone_number": "860-291-6554",
"fax_number": "860-783-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SEYMOUR ST",
"address_2": "SUITE 200",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06106",
"telephone_number": "860-246-6589",
"fax_number": "860-560-2849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "MARTHA",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "029247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001292474",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A2516306",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010029247CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.