Henry Rex Greene, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G19771 Issued in CA

Practice address

2710 Dolbeer St
Eureka, CA 95501

Phone

(707) 267-2060

Fax

(707) 267-2061

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Exeter Health Resources Inc

  • Multi-Specialty Clinic/Center
  • Exeter, NH
  • NPI 1538375704
  NPD (past)
• Hope Cancer Center of Northwest Ohio

  • Specialist
  • Kenton, OH
  • NPI 1265513220
  NPD (past)
• Hope Cancer Center of Northwest Ohio

  • Specialist
  • Saint Marys, OH
  • NPI 1912009143
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1659312627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S LINCOLN RD",
            "address_2": "STE 400",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291293",
            "telephone_number": "906-233-9363",
            "fax_number": "906-789-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 DOLBEER ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-267-2060",
            "fax_number": "707-267-2061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3426 N Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330404224",
            "country_code": "US",
            "telephone_number": "305-296-0021",
            "fax_number": "305-296-0061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "HENRY",
        "middle_name": "REX",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME120037",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35087628",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G19771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4042485",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019021800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01745576",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE THRU KEYS PHA",
            "identifier": "1336770",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2648139",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Green, RN
• Robert M Green Jr., MD
• Ryan Green, LCSW
• Brittney S Greene, RN
• Danielle M Greene
• Whitney Leeann Greene, MS, RD, CSO
• Sarah Greenwood, M.S., CCC-SLP
• Andrew Scott Greer, PH.D.
• Cameron David Gremmels
• Susan Patricia Grenfell

• Hematology & Oncology Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.