DR. BRETT B GREENKY (NPI# 1750346060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750346060 |
| Entity Type | Individual |
| Full Name | DR. BRETT B GREENKY |
| Credential | M.D. |
| Practice Address |
4115 Medical Center Dr Fayetteville NY 13066-6636 |
| Mailing Address |
5719 Widewaters Pkwy Syracuse NY 13214-1880 |
| Practice Telephone | 3153297600 |
| Practice Fax Number | 3153297608 |
| Mailing Telephone | 3152513100 |
| Mailing Fax Number | 3154499923 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 170239 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
170239 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01360021 | 05 |
| Street Address |
4115 MEDICAL CENTER DR |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-6636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861562829 | Syracuse Orthopedic Specialists, P.C. | Orthopaedic Surgery | 4115 Medical Center Dr, Fayetteville, NY 13066-6636 | 2006-11-08 |
| 1144288630 | Jill M. Johnstone | Physician Assistant | 4115 Medical Center Dr, Suite 115, Fayetteville, NY 13066-6636 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366077760 | City Motion Orthopaedics Pllc | Orthopaedic Surgery | 51 E 25th St Fl 6, New York, NY 10010-8207 | 2020-03-05 |
| 1760967723 | William J Lackey Md PC | Orthopaedic Surgery | 153 W 27th St Ste 1101, New York, NY 10001-6251 | 2018-09-26 |
| 1427438753 | Cameron Yau | Orthopaedic Surgery | 50 E 76th St, Apt 5a, New York, NY 10021-2707 | 2015-06-02 |
| 1790027415 | Seth Korbin | Orthopaedic Surgery | Department of Orthopaedics Hsc T 18, Stony Brook University Medical Ctr, Stony Brook, NY 11794-8181 | 2013-03-20 |
| 1689973091 | Jonathan Robert Danoff | Orthopaedic Surgery | 611 Northern Blvd Ste 200, Great Neck, NY 11021-5208 | 2011-03-24 |
| 1689971434 | Dassa Orthopedic Medical Services, P.C. | Orthopaedic Surgery | 453 State Route 211 E, Middletown, NY 10940 | 2011-02-14 |
| 1215231485 | Abhijit Pawar | Orthopaedic Surgery | 400 E 71st St Apt 11-0, New York, NY 10021-4808 | 2011-01-03 |
| 1386963254 | Mcculloch Orthopaedic Surgical Services, Pllc | Orthopaedic Surgery | 12510 Queens Blvd Ste 9, Kew Gardens, NY 11415 | 2010-05-18 |
| 1194959577 | John J. Demarchi M.d., P.C. | Orthopaedic Surgery | 3673 Southwestern Blvd., Orchard Park, NY 14127-1732 | 2009-05-13 |
| 1811142367 | Amrit Goyal | Orthopaedic Surgery | 130 E 77th Street, Lenox Hill Hospital, New York, NY 10021 | 2008-11-25 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
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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.