Active NPI
Clifford Russell Greyson, MD
- Cardiovascular Disease Physician
- Aurora, CO
National Provider Identifier
1508824384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 38234
- Practice address
- 1700 N Wheeling Street
Cardiology 111B, Vamc
Aurora, CO 80045 - Phone
- (720) 723-6061
- Fax
- (207) 723-7839
- NPI assigned
- May 2, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G64096 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | G64096 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 38234 | CO | |
| Cardiovascular Disease Physician | 207RC0000X | 38234 | CO | Primary |
Addresses
Primary practice location
1700 N Wheeling Street
Cardiology 111B, Vamc
Aurora, CO 80045
Mailing address
1700 N Wheeling Street
Cardiology 111B, Vamc
Aurora, CO 80045
Phone (207) 723-6061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170608002692 | CO | Order and Referring Only - Cardiovascular Disease (Cardiology) | 4385912674 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G64096 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
| 38234 | CO | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1508824384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N WHEELING STREET",
"address_2": "CARDIOLOGY 111B, VAMC",
"city": "AURORA",
"state": "CO",
"postal_code": "80045",
"telephone_number": "207-723-6061",
"fax_number": "720-723-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N WHEELING STREET",
"address_2": "CARDIOLOGY 111B, VAMC",
"city": "AURORA",
"state": "CO",
"postal_code": "80045",
"telephone_number": "720-723-6061",
"fax_number": "207-723-7839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREYSON",
"first_name": "CLIFFORD",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G64096",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "G64096",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CO",
"license": "38234",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "38234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.