Organization Active NPI

Mark a Greenfield

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1265897268
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
6295 Issued in AZ
Legal business name
MARK A GREENFIELD
Practice address
15830 N 35TH Ave
Phoenix, AZ 85053-7640
Phone
(602) 298-1188
Fax
(602) 866-3036
NPI assigned
Dec 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Dr. Mark A Greenfield, D.O.NPI 1205826799
Title
Orthopedic Surgeon
Phone
(602) 298-1188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X 6295 AZ Primary

Addresses

Primary practice location

15830 N 35TH Ave
Phoenix, AZ 85053-7640

Mailing address

15830 N 35TH Ave
Phoenix, AZ 85053-7640
Phone (602) 298-1188

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1265897268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537640",
            "telephone_number": "602-298-1188",
            "fax_number": "602-866-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537640",
            "telephone_number": "602-298-1188",
            "fax_number": "602-866-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A GREENFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "602-298-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "6295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.