Active NPI
The Greenville MD
- Family Medicine Physician
- Greenville, NC
National Provider Identifier
1528464997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THE GREENVILLE MD
- Practice address
- 2317 Executive Park Circle
Suite a
Greenville, NC 27834 - Phone
- (252) 689-2273
- NPI assigned
- Nov 13, 2014
- Last updated
- Dec 17, 2014
- 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
- Maciej Szalkowski, MD
- Title
- Owner
- Phone
- (252) 689-2273
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
2317 Executive Park Circle
Suite a
Greenville, NC 27834
Mailing address
2317 Executive Park Circle
Suite a
Greenville, NC 27834
Phone (252) 689-2273
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Greenville, NC
- NPI 1912081720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418774400000",
"number": "1528464997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 EXECUTIVE PARK CIRCLE",
"address_2": "SUITE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-689-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 EXECUTIVE PARK CIRCLE",
"address_2": "SUITE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-689-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GREENVILLE MD",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-13",
"last_updated": "2014-12-17",
"status": "A",
"authorized_official_last_name": "SZALKOWSKI",
"authorized_official_first_name": "MACIEJ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-689-2273",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
- Anthony Grant Thaxton, MD
- Thatshana Thayanantharajah, MD
- The Carolina Psychological Group, P.a. (Carolina Centre)
- The Community Collective
- The Family Wellness Center PLLC
- The Kelly Code, LLC (The Kelly Code)
- The Mediation Center of Eastern Carolina
- The Mental Matters Counseling & Wellness
- The Mychael Center, LLC
- The Pine Dog Group, Inc (ARCpoint Labs of ENC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.