GARY M GREENBERG (NPI# 1720070683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720070683 |
| Entity Type | Individual |
| Full Name | GARY M GREENBERG |
| Credential | M.D. |
| Practice Address |
725 S Wahanna Rd Ste 230 Seaside OR 97138-7735 |
| Mailing Address |
Po Box 3397 Portland OR 97208-3397 |
| Practice Telephone | 5037177850 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD14811 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD14811 | OR | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD14811 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 078449 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1355 Exchange St, Astoria, OR 971033980 | 5037177850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124285770 | Gary Lee Greenberg | Chiropractor | 4 Firelight Ct, Dix Hills, NY 11746-8316 | 2008-05-21 |
| 1740383330 | Gary Scott Greenberg | Dentist | 109 South Warren St, Ste 1700, Syracuse, NY 13202 | 2006-09-07 |
| 1902847643 | Gary M Greenberg | Dentist | 431 Haines Mill Rd, Allentown, PA 18104-5940 | 2006-06-10 |
| 1346295409 | Gary L Greenberg | Anesthesiology | 400 W Mineral King, Visalia, CA 93291 | 2006-05-24 |
| 1386604882 | Gary N. Greenberg | Internal Medicine | 2103 Bayleaf Dr, Durham, NC 27712-2021 | 2006-03-27 |
| 1770580482 | Gary Greenberg | Family Medicine | 4116 University Ave, Des Moines, IA 50311-3533 | 2005-07-07 |
| 1801942016 | Gary Greenberg | Psychologist | 1500 Shermer Rd, 348, Northbrook, IL 60062-5340 | 2007-01-28 |
| 1386650513 | Gary Greenberg | Counselor | 400 Bayonet St, New London, CT 06320-2600 | 2006-07-31 |
| 1215977269 | Gary Greenberg | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2006-06-07 |
| 1447220652 | Gary A Greenberg | Optometrist | 1093 N Union St, Middletown, PA 17057-2159 | 2006-01-23 |
| Street Address |
725 S WAHANNA RD STE 230 |
| City | SEASIDE |
| State | OR |
| Zip Code | 97138-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855515 | Diana Rose Fischer | Pharmacist | 725 S Wahanna Rd Ste 230, Seaside, OR 97138-7735 | 2019-08-09 |
| 1407400500 | Nicole Benthin | Nurse Practitioner | 725 S Wahanna Rd Ste 230, Seaside, OR 97138-7735 | 2019-07-26 |
| 1790248763 | Nore Batouli | Nurse Practitioner | 725 S Wahanna Rd Ste 230, Seaside, OR 97138-7735 | 2019-04-08 |
| 1952870925 | Dianna Lindberg Doyle | Nurse Practitioner | 725 S Wahanna Rd Ste 230, Seaside, OR 97138-7735 | 2018-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881238376 | Abigail Mcneil | Social Worker | 1150 N Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2019-10-29 |
| 1124564455 | Shelby James | Massage Therapist | 620 S Holladay Dr Ste 3, Seaside, OR 97138 | 2017-01-10 |
| 1699151902 | Joseph Alphonse Sutton | Pharmacist | 79380 Highway 202, Seaside, OR 97138 | 2015-08-10 |
| 1487047197 | Seaside Dental Clinic | Dentist | 729 S Holladay Drive, Seaside, OR 97138 | 2015-03-05 |
| 1215331020 | Jessica Jones | Massage Therapist | 1601 S. Roosevelt, Seaside, OR 97138 | 2014-10-22 |
| 1952735987 | Derk Penrod | Pharmacist | 401 S Roosevelt, Seaside, OR 97138 | 2013-08-27 |
| 1194166025 | Scott Allen Kafader | Pharmacist | 1150 N. Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2013-07-08 |
| 1326391459 | Addiction Medicine Consulting | Substance Abuse Rehabilitation Facility | 1325 North Holladay Dr., Seaside, OR 97138 | 2012-10-26 |
| 1548552938 | Robert W Olson | Pharmacist | 313 S Rosevelt Drive, Seaside, OR 97138 | 2011-05-04 |
| 1831395144 | Delores Swigert Sullivan | Social Worker | 564 Pacific Way, Gearhart, OR 97138 | 2007-06-23 |
| Find all providers in zip 97138 | ||||
| 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 |
|---|---|---|---|---|
| 1982969820 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 1010 Sw Coast Hwy Ste 101, Newport, OR 97365-5239 | 2012-07-06 |
| 1922362243 | Albany General Hospital | Internal Medicine | 631 Elm St Sw Ste 201, Albany, OR 97321-1952 | 2012-07-02 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1225309685 | Patrick Bergin | Internal Medicine | 1794 Sweetbriar Ln, Eugene, OR 97405-4457 | 2012-01-17 |
| 1154646610 | Theodore Allen Foster IIi | Internal Medicine | 1003 Providence Dr Ste 325, Newberg, OR 97132-7521 | 2010-03-28 |
| 1164755534 | Richard E. Romm M.d., LLC | Internal Medicine | 2082 Dogwood Dr, Eugene, OR 97405-7007 | 2009-09-16 |
| 1568699932 | Arjun K. Chagarlamudi | Internal Medicine | 777 Commercial St. Se, Suite 130, Salem, OR 97301 | 2009-06-12 |
| 1518103274 | Centennial Medical Group Inc. | Internal Medicine | 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 | 2008-12-31 |
| 1124281423 | Jane Tuyet Luu | Internal Medicine | 2222 Nw Lovejoy St Ste 606, Portland, OR 97210-5104 | 2008-07-07 |
| 1811192792 | Med Info Services, LLC | Internal Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
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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.