Greenwich Neurology

Primary specialty

SpecialistTaxonomy code 174400000X

License

011739 Issued in CT

Legal business name

GREENWICH NEUROLOGY

Practice address

49 Lake Ave
Suite 2-27
Greenwich, CT 06830-4501

Phone

(203) 869-6446

Fax

(203) 869-7401

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Walter A Camp, M.D.

Title

Owner

Phone

(203) 869-6446

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1356538607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE",
            "address_2": "SUITE 2-27",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501",
            "telephone_number": "203-869-6446",
            "fax_number": "203-869-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE",
            "address_2": "SUITE 2-27",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501",
            "telephone_number": "203-869-6446",
            "fax_number": "203-869-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-869-6446",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "011739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenwich Hospital
• Greenwich Lactation Services LLC
• Greenwich Medical Associates, P.C.
• Greenwich Medical Group
• Greenwich Neonatology Associates, LLC
• Greenwich Neurosurgery, P.C.
• Greenwich Occupational Health Services, P.C.
• Greenwich Ophthalmology Assoc
• Greenwich Oral and Maxillofacial Surgery Associates, P.C.
• Greenwich Otolaryngology, PC

• Specialist in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.