Greenwood Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

NH033036 Issued in MI

Legal business name

GREENWOOD PEDIATRICS

Practice address

720 W Franklin St
Suite 1
Jackson, MI 49201-1674

Phone

(517) 784-9104

Fax

(517) 784-9107

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Naseer Humayun, M.D.38NPI 1104889674

Title

Owner

Phone

(517) 784-9104

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

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

• Naseer Humayun, M.D.

  • Pediatric Adolescent Medicine Physician
  • Jackson, MI
  • NPI 1104889674
  NPD (past) Authorized official

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1306003538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W FRANKLIN ST",
            "address_2": "SUITE 1",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011674",
            "telephone_number": "517-784-9104",
            "fax_number": "517-784-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W FRANKLIN ST",
            "address_2": "SUITE 1",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011674",
            "telephone_number": "517-784-9104",
            "fax_number": "517-784-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "HUMAYUN",
        "authorized_official_first_name": "NASEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-784-9104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.38"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "NH033036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES",
            "identifier": "102196",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5192038",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETORK",
            "identifier": "8503811891",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8503811891",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "1220021",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "900039729",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elana Freeman Greenberg, LMSW
• Kim Merrit Greenfield, B.S.
• Robert Alden Greenlaw-Moore
• April Autumn Greenlee, BS
• Ross Greenstein, PA
• Mary Rebecca Greer
• Michelle M Greer
• Nicole Marie Greer
• Shirl Grego, RDH
• Elaine Kathryn Gregory, M.D.

• Pediatrics Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.