Greenview Primecare, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

37656 Issued in KY

Legal business name

GREENVIEW PRIMECARE, LLC

Practice address

1325 Andrea St
Suite 100
Bowling Green, KY 42104-5852

Phone

(270) 901-3454

Fax

(270) 901-3458

NPI assigned

Nov 8, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Anderson

Title

Practice Manager

Phone

(270) 901-3454

Specialties & licenses 3

Addresses

Tax ID family

Greenview Primecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greenview Primecare LLC

  • Specialist
  • Franklin, KY
  • NPI 1134338064
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Todd Douglas, M.D.

  • Family Medicine Physician
  • Bowling Green, KY
  • NPI 1790785954
  NPD (past)

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372896000000",
    "number": "1720332042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 ANDREA ST",
            "address_2": "SUITE 100",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045852",
            "telephone_number": "270-901-3454",
            "fax_number": "270-901-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 ANDREA ST",
            "address_2": "SUITE 100",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045852",
            "telephone_number": "270-901-3454",
            "fax_number": "270-901-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVIEW PRIMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2013-07-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "270-901-3454",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "37656",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "25071",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "37656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kimberly Green, APRN
• Porter Arthur Green, DO
• Greenview Hospital, Inc.
• Greenview Hospital, Inc.
• Greenview Hospital, Inc.
• Greenview Primecare, LLC.
• Greenview Specialty Associates LLC
• Amanda Greenwell, D.C.
• Bradley Earl Greenwell, D.C.
• Megan Elizabeth Greenwell, PHARM.D.

• Internal Medicine Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2013; 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.