Blair Greenwood, M.D.
Individual provider Active NPI Internal Medicine Physician · Mayflower, AR
NPI 1932137148 · NPPES record last updated Dec 10, 2013
Key facts
- NPI
- 1932137148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- E4447 (AR)
- Practice address
- 587 Hwy 365
Mayflower, AR 72106-9570 - Phone
- (501) 470-7413
- Fax
- (501) 470-7415
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Conway Regional Medical Center Inc
Practice addresses (Care Compare)
606 Hwy 365
Mayflower, AR 72106-9595
Hospital & facility affiliations
- Conway Regional Homecare SVCS
- Elite Home Health
- Conway Regional Medical Center, Inc
- Baptist Health Medical Center-Little Rock
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050829000846 | AR | Practitioner - Internal Medicine | 4486685492 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4447 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Regional Medical Center Inc | Internal Medicine | Current |
Accepting new patients |
| Conway Regional Medical Center Inc | Current | Accepting new patients | |
| Conway Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Mayflower Family Medicine | Past | Accepting new patients | |
| Conway Regional Medical Center Inc | Past | Accepting new patients |
Locations
437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330
587 Highway 365
Mayflower, AR 72106
Phone (501) 470-7413
606 Highway 365
Mayflower, AR 72106
Phone (501) 358-6905
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E4447 | AR | Yes |
Addresses
Primary practice location
587 Hwy 365
Mayflower, AR 72106-9570
Mailing address
PO Box 925
Mayflower, AR 72106-0925
Phone (501) 470-7413
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043852 | Other | AR | MEDICARE RURAL HEALTH |
| 158193001 | Medicaid | AR |
Other providers in Mayflower, AR
- Harley Ferguson
- Hailey J. Fogleman
- Forty Winks Anesthesia, PA
- Angela D Foster
- Carrington Franklin
- H&H Therapy LLC
- Alison Hambuchen
- Justin Harrell
- Shenique De'Shaye Harris
- William Raymond Hatridge
All providers in Mayflower, AR · Internal Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.