Linda I Greenspan, D.O.
Individual provider Active NPI Family Medicine Physician · Burgaw, NC
NPI 1528099462 · NPPES record last updated May 10, 2013
Key facts
- NPI
- 1528099462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2006-01488 (NC)
- Practice address
- 301 S Campbell St
Burgaw, NC 28425-5011 - Phone
- (910) 259-5721
- Fax
- (910) 259-8002
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071022000353 | NC | Practitioner - Family Practice | 9436245453 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-01488 | NC | MD | Family Medicine Physician |
| 25MB05664900 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black River Health Services Inc | Current |
Accepting new patients | |
| Black River Health Services Inc | Current | Accepting new patients | |
| Black River Health Services Inc | Family Medicine | Current |
Accepting new patients |
Locations
109 W Church St
Atkinson, NC 28421
Phone (910) 283-7783
301 S Campbell St
Burgaw, NC 28425
Phone (910) 259-5721
4811 NC Hwy 50
Maple Hill, NC 28454
Phone (910) 259-6444
7910 US Hwy 117 S
Rocky Point, NC 28457
Phone (910) 300-4320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB05664900 | NJ | |
| Family Medicine Physician | 207Q00000X | 2006-01488 | NC | Yes |
Addresses
Primary practice location
301 S Campbell St
Burgaw, NC 28425-5011
Mailing address
301 S Campbell St
Burgaw, NC 28425-5011
Phone (910) 259-5721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144WA | Other | BCBS | |
| 5906358 | Medicaid | NC | |
| 8326606 | Medicaid | NJ |
Other providers in Burgaw, NC
- Gustavo Gasca Jr.
- Courtney L Gibbs
- Justin Wade Gibson
- Hannah Suzanne Gould
- Tonia Whitley Gray
- Deborah Dawn Grim
- Chantelle Nicolle Guthrie
- Madelyne Hadfield
- Andrew Joseph Hall
- Sixta T Hall
All providers in Burgaw, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.