Theresa Greene, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

254525-1 Issued in NY

Practice address

1100 NW 95TH St
North Shore Medical Center, Dept of Emergency Medicine
Miami, FL 33150

Phone

(305) 835-6191

NPI assigned

Jan 6, 2010

Last updated

Jun 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Theresa Hawkins Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  FL

  Medicare reassignment NPD
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  NPD (past)
• Park Slope Emergency Physician Services, PC

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1043251390
  NPD (past)

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1417287988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16475 NE 32ND AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604137",
            "telephone_number": "305-835-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW 95TH ST",
            "address_2": "NORTH SHORE MEDICAL CENTER, DEPT OF EMERGENCY MEDICINE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33150",
            "telephone_number": "305-835-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "THERESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "254525-1",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME118807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "HAWKINS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Greene
• Joseph Paul Greene, MD
• Kim Greene, LCSW
• Lois A Greene, RN,C.
• Nicole Greene
• Tina Greene, MSW
• David S Greenfield, M.D.
• Linda Scott Greenfield, A.P.
• William Greenfield, M.D.
• Rhonda J Greenhaw, MA, BCBA

• Emergency Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.