Individual provider Active NPI

Phillip Sheldon Greene, M.D.

  • Gastroenterology Physician
  • Reynoldsburg, OH
National Provider Identifier
1700864683
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35043686 Issued in OH
Practice address
1418 Brice Rd
Suite 201
Reynoldsburg, OH 43068-2397
Phone
(614) 868-5131
Fax
(614) 868-5180
NPI assigned
Jan 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35043686 OH Primary

Addresses

Primary practice location

1418 Brice Rd
Suite 201
Reynoldsburg, OH 43068-2397

Mailing address

1418 Brice Rd
Suite 201
Reynoldsburg, OH 43068-2397
Phone (614) 868-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35043686OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip S. Greene, M.D., Iinc. Gastroenterology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700864683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 BRICE RD",
            "address_2": "SUITE 201",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682397",
            "telephone_number": "614-868-5131",
            "fax_number": "614-868-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 BRICE RD",
            "address_2": "SUITE 201",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682397",
            "telephone_number": "614-868-5131",
            "fax_number": "614-868-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "PHILLIP",
        "middle_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35043686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.