Active NPI
James E Greenlee, M.D.
- Ophthalmology Physician
- Milwaukee, WI
National Provider Identifier
1285627711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 19780
- Practice address
- 1684 N Prospect Ave
Milwaukee, WI 53202-2408 - Phone
- (414) 271-2020
- Fax
- (414) 272-3932
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 19780 | WI | Primary |
Addresses
Primary practice location
1684 N Prospect Ave
Milwaukee, WI 53202-2408
Mailing address
1684 N Prospect Ave
Milwaukee, WI 53202-2408
Phone (414) 271-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2100133 | Other | WI | CIGNA |
| 30939500 | Medicaid | WI | |
| 4356623 | Other | WI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19780 | WI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1285627711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1684 N PROSPECT AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022408",
"telephone_number": "414-271-2020",
"fax_number": "414-272-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1684 N PROSPECT AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022408",
"telephone_number": "414-271-2020",
"fax_number": "414-272-3932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENLEE",
"first_name": "JAMES",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "19780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2100133",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30939500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4356623",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.