Active NPI
Robert W Greene Jr MD PC
- Physical Medicine & Rehabilitation Physician
- Memphis, TN
National Provider Identifier
1457520868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD019597
- Legal business name
- ROBERT W GREENE JR MD PC
- Practice address
- 220 S Claybrook St
Suite 500
Memphis, TN 38104-3527 - Phone
- (901) 722-5833
- Fax
- (901) 722-5837
- NPI assigned
- Feb 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sally B Greene
- Title
- Practice Administrator
- Phone
- (901) 722-5833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD019597 | TN | Primary |
Addresses
Primary practice location
220 S Claybrook St
Suite 500
Memphis, TN 38104-3527
Mailing address
220 S Claybrook St
Suite 500
Memphis, TN 38104-3527
Phone (901) 722-5833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3047082 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Robert W Greene Jr MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Memphis, TN
- NPI 1801297551
Locations
6005 Park Ave
Ste 804
Memphis, TN 38119
Phone (901) 680-9377
6005 Park Ave
Ste 112
Memphis, TN 38119
Phone (901) 761-5885
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Memphis, TN
- NPI 1134127665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204243200000",
"number": "1457520868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S CLAYBROOK ST",
"address_2": "SUITE 500",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043527",
"telephone_number": "901-722-5833",
"fax_number": "901-722-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S CLAYBROOK ST",
"address_2": "SUITE 500",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043527",
"telephone_number": "901-722-5833",
"fax_number": "901-722-5837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT W GREENE JR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "SALLY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "901-722-5833",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "MD019597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3047082",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.