NPIMap

Individual provider Active NPI

James C Greenfield, DO

  • Family Medicine Physician
  • Frackville, PA
National Provider Identifier
1396700845
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007679L Issued in PA
Practice address
40 W Frack St
Frackville, PA 17931-1719
Phone
(570) 794-6123
Fax
(570) 794-6124
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS007679L PA Primary

Addresses

Primary practice location

40 W Frack St
Frackville, PA 17931-1719

Mailing address

40 W Frack St
Frackville, PA 17931-1719
Phone (570) 794-6123

Other identifiers 2

IdentifierTypeStateIssuer
0019096450006MedicaidPA
196646OtherPAMEDICARE ID (NEW)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040107000309 PA Practitioner - Family Practice 3870492044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

40 W Frack St
Frackville, PA 17931-1719
Phone (570) 794-6123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Coordinated Health Care, LLC CurrentSince Jul 14, 2012 Accepting new patients
Regents of the University of California - Ucsd Medical Group Past Accepting new patients
Cornerstone Coordinated Health Care, LLC Family Medicine Past Accepting new patients
Scheurer Hospital Past Accepting new patients

Locations

2114 Centre St
Ashland, PA 17921
Phone (570) 794-6123

40 W Frack St
Frackville, PA 17931
Phone (570) 794-6123

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cornerstone Coordinated Health Care, LLCFrackville, PA, CCN 393920 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee		 Apr 9, 2012
Apr 9, 2012
Cornerstone Coordinated Health Care, LLCAshland, PA, CCN 393925 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2019
Aug 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1396700845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W FRACK ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311719",
            "telephone_number": "570-794-6123",
            "fax_number": "570-794-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W FRACK ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311719",
            "telephone_number": "570-794-6123",
            "fax_number": "570-794-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007679L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019096450006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID (NEW)",
            "identifier": "196646",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frackville, PA

Sources for this page

Verify at the official NPI Registry.