Active NPI
Howard Gilbert Greene, M.D.
- Family Medicine Physician
- Louisiana, MO
National Provider Identifier
1972617249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 102816
- Practice address
- 2305 Georgia St
Louisiana, MO 63353-2559 - Phone
- (573) 754-4584
- Fax
- (573) 754-5280
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 102816 | MO | Primary |
Addresses
Primary practice location
2305 Georgia St
Louisiana, MO 63353-2559
Mailing address
2305 Georgia St
Louisiana, MO 63353-2559
Phone (573) 754-4584
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203715529 | Medicaid | MO | |
| CK7206 | Other | MEDICARE RAILROAD PIN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1972617249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 GEORGIA ST",
"city": "LOUISIANA",
"state": "MO",
"postal_code": "633532559",
"telephone_number": "573-754-4584",
"fax_number": "573-754-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 GEORGIA ST",
"city": "LOUISIANA",
"state": "MO",
"postal_code": "633532559",
"telephone_number": "573-754-4584",
"fax_number": "573-754-5280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "HOWARD",
"middle_name": "GILBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "102816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203715529",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PIN",
"identifier": "CK7206",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisiana, MO
- Reed Frederick Flaherty, RPH
- Angela Theresa Gardner, PT, DPT
- Eric Todd Gearing, D.C.
- Sarah Cathleen Geno, MOT, OTR/L
- Tarrah A Grady, LCSW
- Hannibal Regional Healthcare System Inc (Pike Medical Clinic)
- Rachel Elizabeth Henderson
- Howard B. Schwadron, D.M.D. P.C.
- Casey Amanda Jennings, D. O.
- Kyle Johnson, EMT-P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.