Individual provider Active NPI

Eric Mark Greenfield, D.O

  • Emergency Medicine Physician
  • Tamuning, GU
National Provider Identifier
1457558025
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
RTP002364 Issued in GA
Practice address
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone
(671) 988-7814
NPI assigned
Jun 28, 2007
Last updated
May 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X RTP002364 GA Primary
Emergency Medicine Physician 207P00000X DO0064 GU

Addresses

Primary practice location

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128

Mailing address

PO Box 14125
Huntsville, AL 35815-0125
Phone (706) 631-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090622000176 GA Practitioner - Emergency Medicine 1355492943
I20161111000177 TN Practitioner - Emergency Medicine 1355492943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio Medical University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Tennessee Emergency Physicians, P.C.Group PAC ID 3678464526, 85 clinicians

Practice addresses (Care Compare)

2000 Church St
Nashville, TN 37236-0002
Phone (615) 284-5555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
RTP002364GAMDEmergency Medicine Physician
DO0064GUMDEmergency Medicine Physician
1124ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Emergency Physicians PC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Ogeechee Valley Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1457558025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14125",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358150125",
            "telephone_number": "706-631-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 GOV CARLOS G CAMACHO RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133128",
            "telephone_number": "671-988-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "ERIC",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "RTP002364",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GU",
            "license": "DO0064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.