Individual provider Active NPI

Enzro Glenford Greenidge, MD

  • Anesthesiology Physician
  • Homestead, FL
National Provider Identifier
1184829236
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME98659 Issued in FL
Practice address
975 Baptist Way
Homestead, FL 33033-7600
Phone
(786) 243-8505
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME98659 FL Primary

Addresses

Primary practice location

975 Baptist Way
Homestead, FL 33033-7600

Mailing address

975 Baptist Way
Homestead, FL 33033-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071017000944 FL Practitioner - Anesthesiology 3173619459 Reassigns benefits to 7 organizations
I20211214000513 NY Practitioner - Anesthesiology 3173619459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Physician Solutions of North Florida LLCGroup PAC ID 5597066001, 280 clinicians
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

Practice addresses (Care Compare)

325 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (954) 939-5000

410 S 11TH St
Lake Wales, FL 33853-4203
Phone (863) 676-1433

Hospital & facility affiliations

  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Anesthesia Consultants PA Anesthesiology CurrentSince Mar 15, 2023 Accepting new patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology Current Accepting new patients
Greater Miami Anesthesia Services, PA CurrentSince Apr 1, 2015 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Mar 22, 2023 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Jul 18, 2023 Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince Jan 31, 2023 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Feinerman Anesthesia PA Anesthesiology CurrentSince Feb 7, 2023 Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients

Locations

402 Jeffords St
Clearwater, FL 33756
Phone (423) 505-2653

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

8500 SW 92nd St
Ste 204
Miami, FL 33156
Phone (305) 270-8944

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079

88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1325 36th St
Ste B
Vero Beach, FL 32960
Phone (772) 589-0331

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1184829236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "786-243-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENIDGE",
        "first_name": "ENZRO",
        "middle_name": "GLENFORD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME98659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.