Phillip H Greenberg, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9508 Issued in SC

Practice address

1408 Lazar PL
Florence, SC 29501

Phone

(843) 667-1553

Fax

(843) 662-4749

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1699726927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 LAZAR PL",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015672",
            "telephone_number": "843-667-1553",
            "fax_number": "843-662-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 LAZAR PL",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-667-1553",
            "fax_number": "843-662-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "PHILLIP",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "9508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1457301848",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon K. Gray, RPH,CDE
• Green Spot Medispa LLC
• Andrian Jernise Green-Moore
• Ryan Sidney Green III, FNP-C
• Candice Whitaker Greenan, MD
• Stuart A Greenberg, MD
• Howard Nobles Greene, M.D.
• Ralph Emerson Greene III, CRNA
• Roberta Greene, COTA
• Greenwood Genetics Center, Inc.

• Surgery Physician in Florence, SC
• Providers in Florence, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.