Active NPI
Alexander L Greninger, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Seattle, WA
National Provider Identifier
1124415062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- MD60772012
- Practice address
- 825 Eastlake Ave E
Seattle, WA 98109 - Phone
- (206) 520-5700
- NPI assigned
- Apr 17, 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 |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | MD60772012 | WA | Primary |
Addresses
Primary practice location
825 Eastlake Ave E
Seattle, WA 98109
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Other practice location 1
UW Medicine Pathology
Health Sciences Center, Room C-516, Box 357470
Seattle, WA 98195
Phone (206) 543-1140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124415062 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60772012 | WA | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1124415062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 EASTLAKE AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98109",
"telephone_number": "206-520-5700"
}
],
"practiceLocations": [
{
"address_1": "UW Medicine Pathology",
"address_2": "Health Sciences Center, Room C-516, Box 357470",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98195",
"country_code": "US",
"telephone_number": "206-543-1140",
"fax_number": "206-543-3644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRENINGER",
"first_name": "ALEXANDER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-17",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "WA",
"license": "MD60772012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124415062",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.