Robert C Greenwell Jr., M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D34334 Issued in MD

Practice address

301 Saint Paul PL
Suite 605
Baltimore, MD 21202-2102

Phone

(410) 332-1111

Fax

(410) 332-1752

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Mid-Atlantic Nephrology Associates PA

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1477302354
  NPD

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1710985148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD",
            "address_2": "SUITE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL PL",
            "address_2": "SUITE 605",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-332-1111",
            "fax_number": "410-332-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D34334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441381400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Beth Greenwald, M.D., M.P.H.
• Perri Greenwald
• Robert Greenwald, MD
• Ronald Greenwald
• Melanie V Greenway, PA-C, M.S.
• Allison Stacy Gurwitz Greenwood, OTR/L, ATP
• Shania Sheree Greenwood, LGPC
• Jonathan Greenzaid
• Alexandra Taylor Greer
• Charminque Ricshay Greer, CPT

• Nephrology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.