Active NPI
Jerome Greenfield, MD
- Psychiatry Physician
- Des Moines, IA
National Provider Identifier
1467557884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 28995
- Practice address
- 1750 48TH St
Suite 2
Des Moines, IA 50310-1988 - Phone
- (515) 271-6300
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 28995 | IA | Primary |
Addresses
Primary practice location
1750 48TH St
Suite 2
Des Moines, IA 50310-1988
Mailing address
1055 6TH Ave
Suite 200
Des Moines, IA 50314-2607
Phone (515) 643-8672
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21573 | Other | IA | WELLMARK |
| 2091207 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28995 | IA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467557884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 6TH AVE",
"address_2": "SUITE 200",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142607",
"telephone_number": "515-643-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 48TH ST",
"address_2": "SUITE 2",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101988",
"telephone_number": "515-271-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "JEROME",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "28995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "21573",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2091207",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.