Greenwich Medical Associates Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD10893 Issued in RI

Legal business name

GREENWICH MEDICAL ASSOCIATES INC

Practice address

1351 S County TRL
Suite 215
East Greenwich, RI 02818-5105

Phone

(401) 886-9700

Fax

(401) 884-4235

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shahid Khan, MDNPI 1104907625

Title

Owner

Phone

(401) 886-9700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahid A Khan, MD

  • Internal Medicine Physician
  • East Greenwich, RI
  • NPI 1104907625
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1407265390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 DIVISION RD",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181223",
            "telephone_number": "401-886-9700",
            "fax_number": "401-884-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 215",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185105",
            "telephone_number": "401-886-9700",
            "fax_number": "401-884-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-886-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD10893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Leonard Green, DO
• Melissa Greenlief, MA, LMHC
• Greenwich Bay Al Operator, LLC (Anchor Bay at Greenwich)
• Greenwich Bay Chiropractic LLC
• Greenwich Bay, L.L.C.
• Greenwich Podiatry Group LLC (Greenwich Podiatry Group)
• Greenwich Podiatry, Inc
• Alison Guliano, DPT
• Tara Gyra, LICSW
• Klaus Friedrich Haas, MD

• Internal Medicine Physician in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.