Individual provider Active NPI

Eileen Beth Greenwald, M.D., M.P.H.

  • Occupational Medicine Physician
  • Baltimore, MD
National Provider Identifier
1881892321
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
D0056563 Issued in MD
Practice address
1419 Knecht Ave
Baltimore, MD 21227-1415
Phone
(410) 247-9595
Fax
(410) 247-7553
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X D0056563 MD Primary

Addresses

Primary practice location

1419 Knecht Ave
Baltimore, MD 21227-1415

Mailing address

526 Rhapsody CT
Hunt Valley, MD 21030-1915
Phone (301) 919-3325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091204000308 MD Practitioner - Preventive Medicine 0547309544 Reassigns benefits to 1 organization
I20190213002264 DC Practitioner - Preventive Medicine 0547309544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0056563MDMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Dec 31, 2018 Accepting new patients
American Current Care, PA. CurrentSince Dec 31, 2018 Accepting new patients
American Current Care PA Current Accepting new patients
American Current Care PA CurrentSince Dec 31, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1419 Knecht Ave
Halethorpe, MD 21227
Phone (410) 247-9595

4451 Parliament Pl
Ste G
Lanham, MD 20706
Phone (301) 459-9113

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1881892321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 RHAPSODY CT",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301915",
            "telephone_number": "301-919-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 KNECHT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271415",
            "telephone_number": "410-247-9595",
            "fax_number": "410-247-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "EILEEN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MD",
            "license": "D0056563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.