El Dorado Prostate Center, PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

21528 Issued in AZ

Legal business name

EL DORADO PROSTATE CENTER, PC

Practice address

1100 N El Dorado PL
Tucson, AZ 85715-4606

Phone

(480) 265-2797

Fax

(602) 441-9524

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Greenberg, MD

Title

Medical Director

Phone

(520) 403-7727

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jerry Greenberg Doing business as

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1215337381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98820",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938820",
            "telephone_number": "602-441-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154606",
            "telephone_number": "480-265-2797",
            "fax_number": "602-441-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO PROSTATE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "520-403-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "AZ",
            "license": "21528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jerry Greenberg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• El Dorado Audiology
• El Dorado Hearing, LLC
• El Dorado Hospital
• El Dorado Hospital
• El Dorado Hospital
• El Dorado Surgery Center LP
• El Dorado Surgery Center LP
• Maya El Ghouayel
• Rayan El Hajjar, MD
• Kareem El Naamani, MD

• Urology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.