Linda Greenbaum, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD049991L Issued in PA

Practice address

132 S. 10TH St.
480 Main BLDG.
Phila, PA 19107

Phone

(215) 955-8900

Fax

(215) 955-5245

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1235143983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S. 10TH ST.",
            "address_2": "480 MAIN BLDG.",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-8900",
            "fax_number": "215-955-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S. 10TH ST.",
            "address_2": "480 MAIN BLDG.",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-8900",
            "fax_number": "215-955-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "LINDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD049991L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001457921",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Philadelphia Health Action, Inc.
• Greater Philadelphia Health Action, Inc.
• Green Supportive Care
• Joshua Green, M.D.
• Roxanne Alicia Green, MPH
• Ruth L. Greenberg, PH.D.
• Steven M. Greenfield, M.D.
• Gail Greenspan, M.D.
• Jeanne G. Griffin, PH.D.
• Lawrence Robert Griffin, PH.D.

• Gastroenterology Physician in Phila, PA
• Providers in Phila, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.