Julian B. Greengold, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME38718 Issued in FL

Practice address

807 N Myrtle Ave
Clearwater, FL 33755-4254

Phone

(727) 467-2400

Fax

(727) 467-2477

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1437109055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10744",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337578744",
            "telephone_number": "727-532-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N MYRTLE AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554254",
            "telephone_number": "727-467-2400",
            "fax_number": "727-467-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENGOLD",
        "first_name": "JULIAN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME38718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "080082218",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257177300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Robert Green
• Greenbrook TMS Clearwater LLC
• Dawn Greene-Putulin, ARNP
• Scott Michael Greene, MD
• Tara Greene, P.T.
• Greg M Silver MD PA
• Youhana Greges, MD
• Gregory Gulick DO PA
• Gregory L Dokka DC PA (Clearwater Spine & Rehabilitation)
• Gregory L Dokka DC PA

• Family Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.