EDWARD DAVID GREENBERG (NPI# 1780836528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780836528 |
| Entity Type | Individual |
| Full Name | EDWARD DAVID GREENBERG |
| Credential | M.D. |
| Practice Address |
2722 Merrilee Dr Ste 230 Fairfax VA 22031-4420 |
| Practice Telephone | 7036984444 |
| Practice Fax Number | 7032040116 |
| Mailing Telephone | 7036984444 |
| Mailing Fax Number | 7032040116 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2012-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101251267 | VA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
0101251267 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICAL LICENSE | 0101251267 | 01 |
| VA | CAREFIRST BCBS | 0123 | 01 |
| WV | 3810023115 | 05 | |
| NY | NY STATE MEDICAL LICENSE NUMBER | 60 241311 | 01 |
| VA | AETNA HMO | 8442961 | 01 |
| VA | AETNA PPO | 9188852 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962537183 | Edward H Greenberg | Internal Medicine | 400 Sw 1st Ave, Unit 1510, Ft Lauderdale, FL 33301-3476 | 2007-02-21 |
| 1861770786 | Edward Greenberg | Internal Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2011-07-26 |
| Street Address |
2722 MERRILEE DR STE 230 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275523805 | Dana A Twible | Radiology | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2005-10-25 |
| 1437548005 | Varin Claire Bird | Physician Assistant | 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031-4420 | 2015-01-20 |
| 1871998302 | Kimberly Soutuyo | Nurse Practitioner | 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031-4420 | 2014-10-27 |
| 1487091534 | Aaron Rich Ducoffe | Orthopaedic Surgery | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2013-05-30 |
| 1871836312 | Kiet Trung Nguyen | Radiology | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2013-04-03 |
| 1528358199 | Daniel Macleod Fistere Jr. | Radiology | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2011-04-15 |
| 1538463724 | Faris Haddad | Radiology | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4420 | 2011-01-02 |
| 1326364027 | Stephen V. Ho | Radiology | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2010-04-20 |
| 1538395827 | Marilyn Barry-brooks | Radiology | 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031-4420 | 2009-06-01 |
| 1063650190 | Abraham Hyeon Jeon | Radiology | 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031-4420 | 2009-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 |
|---|---|---|---|---|
| 1932367372 | Anjali Malik | Radiology | 3015 Williams Dr Ste 200, Fairfax, VA 22031-4623 | 2008-05-31 |
| 1003822115 | Scott E Cassar | Radiology | 4001 Fair Ridge Drive, Suite 103, Fairfax, VA 22033-2917 | 2006-07-31 |
| 1386658938 | Carole Z Rubin | Radiology | 3022 Williams Drive, Ste 204, Fairfax, VA 22031-4623 | 2006-07-28 |
| 1417989682 | Jay Mitchell Feder | Radiology | 3611 Sweethorn Ct, Fairfax, VA 22033-1226 | 2006-07-07 |
| 1457382368 | Marianne Shih | Radiology | 2722 Merrilee Dr Ste 230, Fairfax, VA 22031-4400 | 2006-07-06 |
| 1851367254 | Andrea R Giacometti | Radiology | 8261 Willow Oaks Corporate Dr, Kaiser Permanente Imaging Center, Fairfax, VA 22031-4512 | 2006-02-24 |
| 1841276136 | Albert K Chun | Radiology | 2812 Old Lee Hwy Ste 100b, Fairfax, VA 22031-4315 | 2005-12-19 |
| 1275523805 | Dana A Twible | Radiology | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2005-10-25 |
| 1699174847 | Saniya Merchant | Radiology | 2722 Merrilee Dr Ste 230, Fairfax, VA 22031-4416 | 2014-08-13 |
| 1871836312 | Kiet Trung Nguyen | Radiology | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2013-04-03 |
| Find all providers in FAIRFAX | ||||
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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.