DR. STEVEN S GREENBAUM (NPI# 1942395207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942395207 |
| Entity Type | Individual |
| Full Name | DR. STEVEN S GREENBAUM |
| Credential | MD |
| Practice Address |
1528 Walnut St Suite 1101 Dermatologic Surgical Assoc Philadelphia PA 19102 |
| Mailing Address |
1528 Walnut St Suite 1101 Philadelphia PA 19102 |
| Practice Telephone | 2157354994 |
| Practice Fax Number | 2157358473 |
| Mailing Telephone | 2157354994 |
| Mailing Fax Number | 2157358376 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
MD041412E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 0087713000 | 01 |
| PA | PA BLUE SHIELD | 170232 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033123229 | Steven L Greenbaum | Dentist | 161 Washington Valley Rd, Suite 202, Warren, NJ 07059-7176 | 2006-07-27 |
| Street Address |
1528 WALNUT ST SUITE 1101 DERMATOLOGIC SURGICAL ASSOC |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605013 | Bridget Catherine Littley | Counselor | 1528 Walnut St, Philadelphia, PA 19102-3604 | 2019-08-20 |
| 1639603715 | Rachel Kabasakalian-mckay | Psychologist | 1528 Walnut St, Suite 302, Philadelphia, PA 19102-3604 | 2017-04-17 |
| 1720448186 | Kristen Jones | Physician Assistant | 1528 Walnut St, Suite 950, Philadelphia, PA 19102-3604 | 2016-02-29 |
| 1073922621 | Norma Kisaiti | Counselor | 1528 Walnut St, Philadelphia, PA 19102-3604 | 2014-08-07 |
| 1104128818 | Carole S Levin | Optometrist | 1528 Walnut St, Pearle Vision, Philadelphia, PA 19102-3604 | 2010-12-01 |
| 1134432909 | Dr. Myron B. Goldberg, D.d.s. | Dentist | 1528 Walnut St, Suite 1725, Philadelphia, PA 19102-3604 | 2010-07-21 |
| 1215160957 | Gino C Curcuruto | Chiropractor | 1528 Walnut St, Philadelphia, PA 19102 | 2009-08-28 |
| 1518192004 | Steven Matthew Stoll | Emergency Medicine | 1528 Walnut St, Suite 950, Philadelphia, PA 19102-3604 | 2009-05-27 |
| 1528207776 | Lucinda Mitchell | Counselor | 1528 Walnut St, Suite1706, Philadelphia, PA 19102-3604 | 2009-02-11 |
| 1639330087 | Autism Living and Working, Inc. | Case Management | 1528 Walnut St, Suite 815, Philadelphia, PA 19102-3604 | 2008-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730373432 | Anne Marie C. Angeles M.d. P.C. | Dermatology | 1440 Mckean St, Philadelphia, PA 19145-2308 | 2007-09-05 |
| 1417081803 | Louis Alfred Brown Jr. | Dermatology | 6326 Rising Sun Ave, Philadelphia, PA 19111-5630 | 2007-03-15 |
| 1598176554 | Philadelphia Center for Dermatology, PC | Dermatology | 8400 Roosevelt Blvd, Suite 200, Philadelphia, PA 19152-2081 | 2014-05-13 |
| 1598027906 | Cerrene Nicole Giordano | Dermatology | 800 Spruce St, Fl 10, Philadelphia, PA 19107 | 2012-06-12 |
| 1518028737 | Anne Marie Angeles | Dermatology | 3 Crescent Dr Fl 2, Philadelphia, PA 19112-1016 | 2006-12-12 |
| 1922055250 | Barbara M Mathes | Dermatology | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2006-05-30 |
| 1043205768 | Douglas Kligman | Dermatology | 8815 Germantown Ave, Suite 30, Philadelphia, PA 19118-2722 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901025 | Bucks County Dermaesthetics | Dermatology | 1 Summit Square Ctr, Langhorne, PA 19047-1091 | 2020-01-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1124483623 | Forefront Dermatology, S.c. | Dermatology | 4731 Route 30, Suite 402, Greensburg, PA 15601 | 2015-12-28 |
| 1801214754 | Horace Macvaugh IIi | Dermatology | 2813 Bristol Pike, Capri Clinic, Bensalem, PA 19020 | 2014-03-28 |
| 1821329004 | Stephen G Wiener | Dermatology | 44 Meadow Glen Ln, Reading, PA 19607-9427 | 2010-01-27 |
| 1174674899 | Judith I Arluk | Dermatology | 1987 Centurion Dr, Suite 001, Forest Hills, Pittsburgh, PA 15221 | 2007-01-16 |
| 1679650006 | Proctor and Proctor PC | Dermatology | 1227 Westside Ave, Honesdale, PA 18431-1715 | 2006-11-01 |
| 1154427623 | Shelley Sue Schuler | Dermatology | 21 Industrial Blvd Ste 101, Paoli, PA 19301-1610 | 2006-09-15 |
| 1689687048 | Merle Bari | Dermatology | 944 Merion Square Rd, Gladwyne, PA 19035-1510 | 2006-08-15 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.