Scott A Greenberg, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME78931 Issued in FL

Practice address

1925 Mizell Ave
Suite 303
Winter Park, FL 32792-4106

Phone

(407) 644-3137

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548285513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 MIZELL AVE",
            "address_2": "SUITE 303",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 MIZELL AVE",
            "address_2": "SUITE 303",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924106",
            "telephone_number": "407-644-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME78931",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "016622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindon George Gray, APRN
• Carlo Greco, MD
• Green Cross Home Care Services
• Bronte Green, DPT, PT
• Nicole Dawn Green
• Randall B Greene, D.O.
• Tara Lee Greene, LMHC, LMFT
• Celeste Greenlee, M.A.
• Gregg R. Kroen DDS PA
• Gregory Van Dam, Psy.D. LLC (Comprehensive Psychology Services)

• Plastic Surgery Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.