DR. PHILLIP J GREENFIELD (NPI# 1023060225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023060225 |
Entity Type | Individual |
Full Name | DR. PHILLIP J GREENFIELD |
Credential | DPM |
Practice Address |
1316 S Main St Clarion IA 50525-2019 |
Practice Telephone | 5155322811 |
Practice Fax Number | 5155329336 |
Mailing Telephone | 5155322811 |
Mailing Fax Number | 5155329336 |
Enumeration Date | 2006-05-16 |
Last Update Date | 2018-09-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00793 | IA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | WELLMARK BCBS OF IOWA | 18328 | 01 |
IA | IOWA MEDICAID GROUP | 0298471 | 01 |
IA | MEDICARE GROUP | I7688 | 01 |
IA | 0491845 | 05 |
Street Address |
1316 S MAIN ST |
City | CLARION |
State | IA |
Zip Code | 50525-2019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811995392 | Carlos Rodriguez | Obstetrics & Gynecology | 1316 S Main St, Clarion, IA 50525-2019 | 2005-07-08 |
1275150765 | Trisha Hoffmann | Pharmacist | 1316 S Main St, Clarion, IA 50525-2019 | 2020-06-30 |
1821615311 | Scott Timothy Schulte | Pharmacist | 1316 S Main St, Clarion, IA 50525-2019 | 2020-06-30 |
1528685013 | Lance John Fischer | Pharmacist | 1316 S Main St, Clarion, IA 50525-2019 | 2020-06-30 |
1609437565 | Carrie Jane Reese | Nurse Practitioner | 1316 S Main St, Clarion, IA 50525-2019 | 2019-06-21 |
1003307406 | Jessica Lynn Rooker | Nurse Practitioner | 1316 S Main St, Clarion, IA 50525-2019 | 2018-05-22 |
1124413307 | Benjamin Becker | Physician Assistant | 1316 S Main St, Clarion, IA 50525-2019 | 2015-04-03 |
1992110498 | Jacob Matthew Miller | Nurse Anesthetist, Certified Registered | 1316 S Main St, Clarion, IA 50525-2019 | 2014-06-24 |
1467890376 | Michael Joseph Mcloughlin | Internal Medicine | 1316 S Main St, Clarion, IA 50525-2019 | 2013-06-13 |
1689011520 | Andrea Marie Mcloughlin | Family Medicine | 1316 S Main St, Clarion, IA 50525-2019 | 2013-06-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609176668 | Regina J Reedy | Nurse Practitioner | 215 13th Ave. Sw, Clarion, IA 50525 | 2010-10-25 |
1760464200 | Jeffrey J Kalvig | Nurse Anesthetist, Certified Registered | 1316 S Main, Clarion, IA 50525 | 2005-11-18 |
1154305258 | Shelley Marie Wells | Anesthesiology | 1316 South Main Street, Clarion, IA 50525 | 2005-12-01 |
1285600312 | Developmental Resourcs, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 2nd St Nw, Clarion, IA 50525-1005 | 2006-02-28 |
1033257639 | John Edward Koenig | Contractor | 609 N Main St, Clarion, IA 50525-1137 | 2007-02-03 |
1003031345 | Kristi Diane Zwiefel | Dietitian, Registered | 720 3rd St Ne, Clarion, IA 50525-1144 | 2007-04-13 |
1679789267 | Rebecca Sue Ahrendsen | Registered Nurse | 728 Maple Ln, Clarion, IA 50525-1241 | 2007-05-14 |
1477685345 | Clarion-goldfield Community School District | Local Education Agency (LEA) | 1111 Willow Dr, Clarion, IA 50525-1246 | 2007-03-09 |
1982681508 | County of Wright | Home Health | 115 1st St Se, Clarion, IA 50525-1401 | 2005-12-23 |
1093108201 | Wright County | Preventive Medicine | 115 1st St Se, Clarion, IA 50525-1401 | 2015-03-12 |
Find all providers in zip 50525 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578539102 | Timothy J. Scott | Podiatrist | 22905 Route 68, Clarion, PA 16214-8557 | 2006-02-24 |
1336176858 | Timothy J Scott Dpm PC | Podiatrist | 22905 Route 68, Clarion, PA 16214-8557 | 2006-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578189296 | Linda Bratkiewicz Podiatry Pllc | Podiatrist | 1301 Pennsylvania Ave Ste 115, Des Moines, IA 50316-2364 | 2020-06-18 |
1407377344 | Fusion Foot and Ankle, LLC | Podiatrist | 110 Us Hwy 6 Suite 80, Waukee, IA 50263 | 2017-06-30 |
1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
1780068114 | Kara Franzen | Podiatrist | 1500 Delhi St Ste 2200, Dubuque, IA 52001-6359 | 2015-07-15 |
1265835474 | Iowa Foot & Ankle Specialists, Pllc | Podiatrist | 2884 Aaa Ct, Bettendorf, IA 52722-3406 | 2014-10-01 |
1932462256 | Jennifer Ann Fuehrer | Podiatrist | 1327 Sunset Drive, Suite 300, Norwalk, IA 50211 | 2012-06-21 |
1912278490 | Collin E. Pehde Dpm, Pllc | Podiatrist | 500 E Court Ave, Suite 314, Des Moines, IA 50309-2057 | 2012-01-16 |
1912285479 | Joshua R Modlin | Podiatrist | 4214 Fleur Dr Ste 7, Des Moines, IA 50321-2300 | 2011-08-01 |
1326336397 | Brian David Hunziker | Podiatrist | 80 E Hickman Rd, Waukee, IA 50263-5011 | 2011-07-12 |
1306175104 | Justin J. Raatz | Podiatrist | 500 E Court Ave Ste 314, Des Moines, IA 50309-2057 | 2009-12-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.