Greene Tree Foot Ankle Surgicenter

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

A1419 Issued in MD

Legal business name

GREENE TREE FOOT ANKLE SURGICENTER

Practice address

1838 Greene Tree Rd
Suite 430
Baltimore, MD 21208-6391

Phone

(410) 602-8637

Fax

(410) 602-9781

NPI assigned

Mar 27, 2007

Last updated

Nov 23, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

GREENE TREE FOOT ANKLE SURGICENTERAs reported in NPPES

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

Authorized official

Name

Nicole D Burney

Title

Office Manager

Phone

(410) 602-8637

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Greene Tree Foot Ankle Surgicenter

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Greene Tree Foot/Ankle Surgicenter, LLC

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
  • NPI 1871979724
  NPPES parent name

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.

• Maurice Warren Aiken, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Dunedin, FL
  • NPI 1528063179
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1447378328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 430",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-8637",
            "fax_number": "410-602-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 430",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-8637",
            "fax_number": "410-602-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE TREE FOOT ANKLE SURGICENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENE TREE FOOT ANKLE SURGICENTER",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "BURNEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-602-8637"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MD",
            "license": "A1419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409817000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Greenberg, RD, LD, MS
• Michael Greenberg, M.D.
• Ned Scott Greenberg, DDS
• Robert Greenberg, M.D.
• Aaron David Greenblatt, MD
• Greene Tree Foot/Ankle Surgicenter, LLC
• Andrea Greene-Ray, CRNA
• Brandy Greene
• Caleb Greene
• Carol L Greene, MD

• Podiatric Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Podiatric Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.