John Douglas Greene, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

126103 Issued in NY

Practice address

5290 Military Rd
Suite 8
Lewiston, NY 14092-1953

Phone

(716) 297-9379

Fax

(716) 297-4638

NPI assigned

Dec 8, 2005

Last updated

Nov 27, 2009By the provider in NPPES

Sex

Male

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

Practice roles

Interoperability endpoints

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

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.

• Eastern Niagara Radiology & Nuclear Medicine Associates, PC

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1053356865
  NPD (past)
• Women's Medicine of Niagara, PLLC

  • Obstetrics & Gynecology Physician
  • Lewiston, NY
  • NPI 1477875110
  NPD (past)

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259280000000",
    "number": "1285619650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "STE 208",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-332-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 MILITARY RD",
            "address_2": "SUITE 8",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921953",
            "telephone_number": "716-297-9379",
            "fax_number": "716-297-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2009-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "126103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00743577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Godwin, OTR/L
• Craig Gonzales Sr.
• William T Goode I, PA-C
• Nakeata Graham
• Emily Katherine Green, RN
• Samantha Rae Grizanti, LPN
• Gynecology Obstetric Associates of Wny PC
• Sean Patrick Hailey, NP
• Joseph Hargrave, O.D.
• Amanda Harrell

• Obstetrics & Gynecology Physician in Lewiston, NY
• Providers in Lewiston, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2009; 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.