Active NPI
Nick Carl Greenwood, MD
- Family Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1306065636
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jun 17, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6942268-1205
- Practice address
- 10 W Broadway
Suite 820
Salt Lake City, UT 84101-2002 - Phone
- (801) 716-4284
- Fax
- (801) 433-0691
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6942268-1205 | UT | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 6942268-1205 | UT |
Addresses
Primary practice location
10 W Broadway
Suite 820
Salt Lake City, UT 84101-2002
Mailing address
PO Box 1710
Salt Lake City, UT 84110-1710
Phone (801) 839-4334
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Company LLC | Addiction Medicine | Current | Accepting new patients |
| Steinmann Institute, LLC | Past | Accepting new patients | |
| Emergency Physicians Integrated Care, LLC | Past | Accepting new patients |
Locations
3802 S 700 E
South Salt Lake, UT 84106
Phone (801) 264-6000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction Medicine (Family Medicine) Physician
- Murray, UT
- NPI 1235553850
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
-
- Clinical Neuropsychologist
- Salt Lake City, UT
- NPI 1215215181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1306065636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1710",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841101710",
"telephone_number": "801-839-4334",
"fax_number": "801-665-6940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 W BROADWAY",
"address_2": "SUITE 820",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841012002",
"telephone_number": "801-716-4284",
"fax_number": "801-433-0691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "NICK",
"middle_name": "CARL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "6942268-1205",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "UT",
"license": "6942268-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.