SUSAN A. GREENFIELD (NPI# 1710097167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710097167 |
| Entity Type | Individual |
| Full Name | SUSAN A. GREENFIELD |
| Credential | DO |
| Practice Address |
1120 15th St Augusta GA 30912-0004 |
| Mailing Address |
1499 Walton Way Ste 1400 Augusta GA 30901-2602 |
| Practice Telephone | 7067213214 |
| Practice Fax Number | 7067215213 |
| Mailing Telephone | 7068286410 |
| Mailing Fax Number | 7067225187 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
056064 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 368745577A | 05 | |
| SC | G56064 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006288 | Susan Rachel Greenfield | Physical Therapy Assistant | 515 Plymouth Rd Apt N1, Plymouth Meeting, PA 19462-1633 | 2019-07-30 |
| 1124677828 | Susan Espo Greenfield | Speech-Language Pathologist | 150 York St, Stoughton, MA 02072 | 2019-09-05 |
| 1538282124 | Susan Greenfield | Psychologist | 60 W 13th St, Suite A, New York, NY 10011-7959 | 2007-04-09 |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568562395 | Arie Franco | Radiology | 1120 15th St, Department of Radiology, Augusta, GA 30912-0004 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679725261 | Smyrna Perez Tuburan | Radiology | Emory University Hospital 1364 Clifton Rd, Atlanta, GA 30322-2804 | 2008-10-15 |
| 1659564078 | Jonathan Loewen | Radiology | 8303 Northlake Heights Cir Ne, Atlanta, GA 30345-2268 | 2007-08-20 |
| 1528072634 | Estelle R. Bank | Radiology | The Emory Clinic-radiology, 1365 Clifton Rd. Ne - Bldg A, Atlanta, GA 30322-0001 | 2006-07-27 |
| 1962475582 | Kelley W. Marshall | Radiology | 7795 Landowne Dr, Atlanta, GA 30350-1063 | 2006-02-13 |
| 1992707145 | John M. Considine Jr. | Radiology | 210 East Derenne Ave, Savannah, GA 31405 | 2005-06-01 |
| 1215219621 | Joo Yup Cho | Radiology | 1001 Johnson Fy Rd Ne, Atlanta, GA 30342-1605 | 2011-09-12 |
| 1144545609 | Ashishkumar Kanaiyalal Parikh | Radiology | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2010-03-28 |
| 1740422963 | Bradley Rostad | Radiology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2009-04-02 |
| 1922273861 | Clifford Matthew Hawkins | Radiology | 1405 Clifton Rd Ne, Choa - Egleston Radiology Dept, Atlanta, GA 30322-1060 | 2008-04-22 |
| 1902090376 | Shelly Irene Shiran | Radiology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2007-08-29 |
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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.