Active NPI
Eugene Saul Greenberg, M.D.
- Urology Physician
- Morehead, KY
National Provider Identifier
1104844984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 39293
- Practice address
- 425 Clinic Dr
Morehead, KY 40351-1077 - Phone
- (606) 784-7551
- Fax
- (606) 780-2373
- NPI assigned
- Jul 18, 2006
- Last updated
- Feb 10, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 39293 | KY | Primary |
Addresses
Primary practice location
425 Clinic Dr
Morehead, KY 40351-1077
Mailing address
425 Clinic Dr
Morehead, KY 40351-1077
Phone (606) 784-1049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64100522 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1104844984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 CLINIC DR",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511077",
"telephone_number": "606-784-1049",
"fax_number": "606-784-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 CLINIC DR",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511077",
"telephone_number": "606-784-7551",
"fax_number": "606-780-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "EUGENE",
"middle_name": "SAUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KY",
"license": "39293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64100522",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.