Active NPI
Jonathan Edward Greenleaf, M.D.
- Specialist
- Tigard, OR
National Provider Identifier
1568469278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD16631
- Practice address
- 7300 SW Childs Rd
Tigard, OR 97224-7713 - Phone
- (503) 692-8700
- Fax
- (503) 692-8710
- NPI assigned
- Jul 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD16631 | OR | Primary |
Addresses
Primary practice location
7300 SW Childs Rd
Tigard, OR 97224-7713
Mailing address
7300 SW Childs Rd
Tigard, OR 97224-7713
Phone (503) 692-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1568469278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 SW CHILDS RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247713",
"telephone_number": "503-692-8700",
"fax_number": "503-692-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 SW CHILDS RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247713",
"telephone_number": "503-692-8700",
"fax_number": "503-692-8710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENLEAF",
"first_name": "JONATHAN",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "MD16631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.