Active NPI
Harold L Greenberg MD PA
- Cardiovascular Disease Physician
- Maitland, FL
National Provider Identifier
1487844742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0012290
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0012290 | FL | Primary |
| Cardiovascular Disease Physician | 207RC0000X | G 00018312 | CA | |
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710948377 | Other | FL | NPI |
National Provider Directory
National Provider DirectoryLocations
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.