Active NPI
Elizabeth Lovely Greenhaw, MD
- General Practice Physician
- Edmond, OK
National Provider Identifier
1821275652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23933
- Practice address
- 2404 Red Elm CT
Edmond, OK 73013-5612 - Phone
- (405) 475-9744
- NPI assigned
- Jan 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23933 | OK | Primary |
Addresses
Primary practice location
2404 Red Elm CT
Edmond, OK 73013-5612
Mailing address
2404 Red Elm CT
Edmond, OK 73013-5612
Phone (405) 475-9744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23933 | OK | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1821275652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 RED ELM CT",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135612",
"telephone_number": "405-475-9744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 RED ELM CT",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135612",
"telephone_number": "405-475-9744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENHAW",
"first_name": "ELIZABETH",
"middle_name": "LOVELY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OK",
"license": "23933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.