Individual provider Active NPI

Lee William Greenspon, M.D.

  • Pulmonary Disease Physician
  • Wynnewood, PA
National Provider Identifier
1164467122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD020446E Issued in PA
Practice address
100 E Lancaster Ave
Suite 230
Wynnewood, PA 19096-3450
Phone
(610) 642-3796
Fax
(610) 642-2943
NPI assigned
Jun 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD020446E PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
Suite 230
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave
Suite 230
Wynnewood, PA 19096-3450
Phone (610) 642-3796

Other identifiers 1

IdentifierTypeStateIssuer
0008631670001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000505 PA Practitioner - Pulmonary Disease 9830151737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD020446EPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonology Associates Inc Pulmonary Disease CurrentSince Jun 15, 1982 Accepting new patients
Main Line Healthcare Past Accepting new patients

Locations

255 W Lancaster Ave
Ste 124
Paoli, PA 19301
Phone (610) 648-0553

100 E Lancaster Ave
Ste 115
Wynnewood, PA 19096

100 E Lancaster Ave
Ste 230
Wynnewood, PA 19096
Phone (610) 642-3796

100 E Lancaster Ave
Ste W230
Wynnewood, PA 19096
Phone (610) 642-3796

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJJDBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164467122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "SUITE 230",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-642-3796",
            "fax_number": "610-642-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "SUITE 230",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-642-3796",
            "fax_number": "610-642-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPON",
        "first_name": "LEE",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD020446E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008631670001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.