Greene Urological Center P.a.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GREENE UROLOGICAL CENTER P.A.

Practice address

308 Palmetto St
New Smyrna Beach, FL 32168-7136

Phone

(386) 426-2565

NPI assigned

Sep 12, 2007

Organization subpart

Yes

Parent organization

GREENE UROLOGICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mrs. Carol Greene

Title

Office Manager

Phone

(386) 426-2565

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Greene Urological Center PA

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1710172861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687136",
            "telephone_number": "386-426-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687136",
            "telephone_number": "386-426-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE UROLOGICAL CENTER P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENE UROLOGICAL CENTER",
        "enumeration_date": "2007-09-12",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-426-2565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379897600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Gray, OTR
• Great Strides Rehabilitation Inc.
• Kelly Campbell Grebner, RD
• Kristin Greco
• Emily Rebekah Green, PA-C.
• Karla Noelle Greene, D.C.
• Gordon G Greenhalgh, PHD
• Greg J. Mercurio, MD, PA
• Gregory P. Samano D.O., P.a.
• Emily Gregory

• Urology Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.