Richard W Greene, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD12063 Issued in TN

Practice address

7003 Buddy J LN
Knoxville, TN 37918-5522

Phone

(865) 385-5615

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Emergency Specialists, PC

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Memphis, TN
  • NPI 1760482434
  NPD (past)
• Rite of Passage Inc

  • Psychiatric Residential Treatment Facility
  • Andersonville, TN
  • NPI 1275285413
  NPD (past)
• Youth Services International Holdings, Inc.

  • Psychiatric Residential Treatment Facility
  • Knoxville, TN
  • NPI 1245383942
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1730384736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 BUDDY J LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185522",
            "telephone_number": "865-385-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 BUDDY J LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185522",
            "telephone_number": "865-385-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD12063",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TN",
            "license": "MD12063",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD12063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandenna Greene, NP
• Kelly N Greene, PNP
• Lauren Shea Greene, LCSW
• Lora Elizabeth Greene, MD
• Rachel Kathryn Greene
• Shanda Marie Greene
• Susan Greene, ANP
• Taylor Nicole Greene, OD
• Tiffany Christina Greene, M.S., LPC-MHSP
• Twylla B Greene, R.N.

• General Practice Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.