Organization Active NPI

Harold L Greenberg MD PA

  • Cardiovascular Disease Physician
  • Maitland, FL
National Provider Identifier
1487844742
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0012290 Issued in FL
Legal business name
HAROLD L GREENBERG MD PA
Practice address
875 Concourse Pkwy South
Maitland, FL 32751-6147
Phone
(407) 682-4600
Fax
(407) 682-4647
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Dr. Harold Louis Greenberg, MD
Title
President
Phone
(407) 682-4600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 0012290 FL Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X G 00018312 CA
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 0101235166 VA

Addresses

Primary practice location

875 Concourse Pkwy South
Maitland, FL 32751-6147

Mailing address

PO Box 161477
Altamonte Springs, FL 32716-1477
Phone (407) 682-4600

Other identifiers 1

IdentifierTypeStateIssuer
1710948377OtherFLNPI

National Provider Directory

National Provider Directory

Locations

875 Concourse Pkwy S
Maitland, FL 32751
Phone (407) 682-4600

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1487844742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161477",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327161477",
            "telephone_number": "407-682-4600",
            "fax_number": "407-682-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 CONCOURSE PKWY SOUTH",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516147",
            "telephone_number": "407-682-4600",
            "fax_number": "407-682-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD L GREENBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-682-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "0012290",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G 00018312",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101235166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710948377",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.