LARRY M GREENBAUM (NPI# 1316927072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316927072 |
Entity Type | Individual |
Full Name | LARRY M GREENBAUM |
Credential | MD |
Practice Address |
701 E County Line Rd Suite 101 Greenwood IN 46143-1070 |
Practice Telephone | 3178852860 |
Practice Fax Number | 3178852869 |
Mailing Telephone | 3178852860 |
Mailing Fax Number | 3178852869 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2013-10-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 01041115 | IN | Allopathic & Osteopathic Physicians |
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
01041115 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100385970 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508930306 | Larry Greenbaum | Dentist | 5480 Wisconsin Ave, 4708 Bradley Blvd T2, Chevy Chase, MD 20815 | 2006-11-20 |
Street Address |
701 E COUNTY LINE RD SUITE 101 |
City | GREENWOOD |
State | IN |
Zip Code | 46143-1070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679570956 | Andrew David Dick | Family Medicine | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2005-07-01 |
1073044954 | Caitlin Elizabeth Luebcke | Nurse Practitioner | 701 E County Line Rd, #101, Greenwood, IN 46143-1072 | 2017-03-23 |
1043759319 | Hannah E Mason | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2017-02-19 |
1750829230 | Altus Direct, LLC | Psychiatry & Neurology | 701 E County Line Rd, Suite 210, Greenwood, IN 46143-1072 | 2017-02-06 |
1205382801 | Gwendolyn Whitis | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2016-09-01 |
1215385174 | Erika Leigh Felt | Physician Assistant | 701 E County Line Rd, Suite 201, Greenwood, IN 46143-1072 | 2016-06-01 |
1124487145 | Rebecca E Pullyard | Registered Nurse | 701 E County Line Rd, Greenwood, IN 46143-1072 | 2016-02-18 |
1487013025 | Teena Nichole Mulholland | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2016-02-10 |
1821456765 | Juli Davette White | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2016-02-07 |
1083090021 | Kristen Mounce | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2015-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
Find all providers in zip 46143 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
---|---|---|---|---|
1710355540 | Articularis Healthcare Group Inc. | Internal Medicine | 105 Vinecrest Ct, Greenwood, SC 29646-8031 | 2015-09-10 |
1871888487 | Taylor Lauren Mader | Internal Medicine | 105 Vinecrest Ct, Suite 600, Greenwood, SC 29646-8031 | 2011-06-10 |
1811174279 | Greenwood Regional Rheumatology Center Pa | Internal Medicine | 917 Bypass 225 S, Greenwood, SC 29646-8025 | 2008-01-29 |
1104802388 | John Trimmer Hicks | Internal Medicine | 917 Bypass 225 S, Greenwood, SC 29646-8025 | 2005-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477047256 | American Arthritis & Rheumatology Associates In LLC | Internal Medicine | 18077 River Rd Ste 206, Noblesville, IN 46062-8334 | 2018-06-15 |
1457708000 | Union Associated Physicians Clinic, LLC | Internal Medicine | 1711 N 6th 1/2 St Ste 302, Terre Haute, IN 47804-2770 | 2016-05-24 |
1972855138 | Rheumetology Arthritis Immunology | Internal Medicine | 4933 Plaza East Blvd, Evansville, IN 47715-2813 | 2012-10-11 |
1407167273 | Anan Bassam Afaneh | Internal Medicine | 6905 E 96th St Ste 300, Indianapolis, IN 46250-4456 | 2010-06-28 |
1306161955 | Kirk Jenkins | Internal Medicine | 1461 Morthland Dr Ste A, Valparaiso, IN 46385-6362 | 2010-04-06 |
1053598896 | Tracy M. Brenner | Internal Medicine | 8902 N Meridian St #210, Indianapolis, IN 46260-5307 | 2008-01-23 |
1528248242 | Reddy Rheumatology of Northwest In PC | Internal Medicine | 118 E 90th Drive, Merrillville, IN 46410-7160 | 2007-11-09 |
1700927811 | Arthritis Care of Michiana LLC | Internal Medicine | 100 Navarre Pl Ste 5570, South Bend, IN 46601-1169 | 2007-02-09 |
1538225487 | Kimberly Shaw Lamberson | Internal Medicine | 1001 West 10th Street, Wishard Hospital, Indianapolis, IN 46202 | 2006-12-28 |
1134202880 | William Parker Rusche | Internal Medicine | 3316 E Mulberry Dr, Bloomington, IN 47401-2426 | 2006-10-23 |
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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.