Active NPI
Kenneth M. Greene, M.D. & Associates
- Specialist
- Baltimore, MD
National Provider Identifier
1760680888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0037016
- Legal business name
- KENNETH M. GREENE, M.D. & ASSOCIATES
- Practice address
- 6701 N Charles St
Suite 4104
Baltimore, MD 21204-6808 - Phone
- (410) 821-2800
- Fax
- (410) 821-2804
- NPI assigned
- Jul 10, 2007
- Last updated
- Nov 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debra Lee Huskey
- Title
- Office Manager
- Phone
- (410) 821-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0037016 | MD | Primary |
Addresses
Primary practice location
6701 N Charles St
Suite 4104
Baltimore, MD 21204-6808
Mailing address
6701 N Charles St
Suite 4104
Baltimore, MD 21204-6808
Phone (410) 821-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1497869903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478563200000",
"number": "1760680888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"address_2": "SUITE 4104",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "410-821-2800",
"fax_number": "410-821-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"address_2": "SUITE 4104",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "410-821-2800",
"fax_number": "410-821-2804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH M. GREENE, M.D. & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2016-11-08",
"status": "A",
"authorized_official_last_name": "HUSKEY",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "410-821-2800",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D0037016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.