Phillip S. Greene, M.D., Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35-04-3686 Issued in OH

Legal business name

PHILLIP S. GREENE, M.D., INC.

Practice address

1418 Brice Rd
Reynoldsburg, OH 43068-2397

Phone

(614) 868-5131

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Phillip S. Greene, M.D.

Title

Owner

Phone

(614) 868-5131

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710081468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682397",
            "telephone_number": "614-868-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682397",
            "telephone_number": "614-868-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP S. GREENE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-868-5131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-04-3686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419201",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Peters, H.A.S.
• Emma Grace Peterson
• Teresa Petkac
• Whitney Pettus
• Kathleen Pfeifer
• Phillip'S Pharmacy on Brice (Phillip's Pharmacy on Brice LLC)
• Laura D Phillips-Chou, MD
• Amanda Marie Phillips, APRN, FNP-C
• Andrea Pierre
• Youvika Pierre

• Gastroenterology Physician in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.