Greenwood Primary Care Aesthetics and Wellness LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREENWOOD PRIMARY CARE AESTHETICS AND WELLNESS LLC

Practice address

918 Fry Rd Ste C
Greenwood, IN 46142-1819

Phone

(917) 257-6551

NPI assigned

May 1, 2023

Organization subpart

No

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

Authorized official

Name

Reena Sharma, NPNPI 1205570074

Title

Ceo

Phone

(917) 257-6551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reena Sharma

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1205570074

  IN

  Medicare reassignment NPD Authorized official
• Pragneshkumar N Radadiya, MD

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1548421985
  Medicare reassignment NPD

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1699463232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431190586",
            "telephone_number": "765-969-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 FRY RD STE C",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421819",
            "telephone_number": "917-257-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD PRIMARY CARE AESTHETICS AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-257-6551",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenwood Medical Laboratory, Inc
• Greenwood Orthopedics PC
• Greenwood Orthopedics PC
• Greenwood Pediatrics & Internal Medicine, PC
• Greenwood Physicians Associates LLP
• Greenwood Psychiatric Associates Inc.
• Greenwood Springs Dental LLC
• Greenwood Vision Care LLC
• Casondra Gregory
• Michaela Gabrielle Gregory, NP

• Family Medicine Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.