JEFFREY M GREENBERG (NPI# 1215933957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215933957 |
| Entity Type | Individual |
| Full Name | JEFFREY M GREENBERG |
| Credential | MD |
| Practice Address |
13460 N 94th Dr Ste J1 Peoria AZ 85381-4246 |
| Practice Telephone | 6238768816 |
| Practice Fax Number | 6232980168 |
| Mailing Telephone | 6238768816 |
| Mailing Fax Number | 6232980168 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
30905 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | P01185628 | 01 |
| AZ | 763905 | 05 | |
| AZ | AETNA | 7931432 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841400801 | Jeffrey Howard Greenberg | Dentist | 374 N El Camino Real, Encinitas, CA 92024-2826 | 2007-05-22 |
| 1588659270 | Jeffrey Alan Greenberg | Neurological Surgery | 114 Undercliff Ter, Princeton, WV 24740-2174 | 2005-09-19 |
| 1710248729 | Jeffrey Greenberg | Dentist | 451 D St, Suite 200, Boston, MA 02210-1950 | 2012-06-06 |
| 1902003205 | Jeffrey Greenberg | Obstetrics & Gynecology | 15 Hospital Dr, Massena, NY 13662-1092 | 2007-06-29 |
| 1245393727 | Jeffrey David Greenberg | Genetic Counselor, MS | 4900 W Sunset Blvd, 3rd Floor Genetics, Los Angeles, CA 90027-5814 | 2006-12-18 |
| 1982783981 | Jeffrey David Greenberg | Internal Medicine | 33 Overlook Rd, Suite L01, Summit, NJ 07901-3570 | 2006-11-02 |
| 1407865314 | Jeffrey Alan Greenberg | Orthopaedic Surgery | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2006-08-07 |
| 1326063587 | Jeffrey Greenberg | Pediatrics | 11119 Rockville Pike, Suite 310, Rockville, MD 20852-3143 | 2006-07-12 |
| 1134153885 | Jeffrey O Greenberg | Internal Medicine | 101 Walnut St, Watertown, MA 02472-4054 | 2006-07-10 |
| 1386687796 | Jeffrey Craig Greenberg | Psychologist | 340 E Northfield Rd, Suite 1e, Livingston, NJ 07039-4892 | 2006-06-14 |
| Street Address |
13460 N 94TH DR STE J1 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588122923 | Michelle Hustad | Physician Assistant | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4264 | 2019-03-05 |
| 1013480771 | Matthew S Burrows | Nurse Practitioner | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 | 2019-01-05 |
| 1730651951 | Lauren Amanda Spano | Physician Assistant | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4264 | 2018-12-28 |
| 1841765435 | Kara E Seabrook | Physician Assistant | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 | 2018-10-10 |
| 1427547934 | Janette Carrillo | Physician Assistant | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 | 2018-05-09 |
| 1093250870 | Jenna Leigh Volstromer | Registered Nurse | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 | 2017-01-03 |
| 1962951392 | Lindsay N Collins | Physician Assistant | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 | 2016-09-27 |
| 1891243713 | Rebecca Ann Dillon | Physician Assistant | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 | 2016-09-20 |
| 1417310657 | Weston Debry | Physician Assistant | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 | 2016-04-04 |
| 1770958449 | Andrea Loren Willcox | Physician Assistant | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 | 2015-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558553016 | Ashim Aggarwal | Internal Medicine | 13634 N 93rd Ave Ste 300, Peoria, AZ 85381 | 2007-08-17 |
| 1174672331 | Thanad S Shay | Internal Medicine | 1201 N North St, Peoria, IL 61606-1533 | 2007-01-09 |
| 1568558492 | Barry Rosen | Internal Medicine | 28685 N. 129th Ave, Peoria, AZ 85383 | 2006-10-05 |
| 1265535116 | Frank Gold | Internal Medicine | 112 Crescent Avenue, Peoria, IL 61603 | 2006-09-06 |
| 1912929118 | Alexander Adler | Internal Medicine | 112 Ne Crescent, 2nd Floor, Peoria, IL 61603 | 2006-07-24 |
| 1588691877 | Joseph J Sarmiento IIi | Internal Medicine | 5405 North Knoxville Avenue, Peoria, IL 61614 | 2006-06-26 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1649268723 | Gabor S Jilly | Internal Medicine | 13128 N 94th Dr, No 100, Peoria, AZ 85381-4252 | 2005-10-12 |
| 1003804170 | Manoj Rawal | Internal Medicine | 13460 N 94th Drive, Ste J-1, Peoria, AZ 85381-4246 | 2005-10-12 |
| 1134121825 | Marc A Petein | Internal Medicine | 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4915 | 2005-08-11 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on JEFFREY M GREENBERG.
| 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.