DR. HERBERT SAM GREENWALD JR. (NPI# 1013135565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013135565 |
| Entity Type | Individual |
| Full Name | DR. HERBERT SAM GREENWALD JR. |
| Credential | M.D. |
| Practice Address |
5067 Wellington Dr Macon GA 31210-4429 |
| Mailing Address |
Po Box 26700 Macon GA 31221-6700 |
| Practice Telephone | 4784747430 |
| Practice Fax Number | 4784746247 |
| Mailing Telephone | 4784747430 |
| Mailing Fax Number | 4784746247 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 011346 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NARCOTICS LICENSE | AG5253199 | 01 |
| GA | MEDICAL LICENSE | 011346 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235225897 | Herbert J. Greenwald | Psychologist | 1074 Main Street (route 6a), West Barnstable, MA 02668-1142 | 2006-10-04 |
| Street Address |
5067 WELLINGTON DR |
| City | MACON |
| State | GA |
| Zip Code | 31210-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255598959 | Richard Eisner | Ophthalmology | 125 Plantation Centre Dr, Suite 250, Macon, GA 31210-2079 | 2008-05-20 |
| 1669526273 | Retina Associates of Middle Georgia | Ophthalmology | 160 Water Tower Court, Macon, GA 31210 | 2007-01-22 |
| 1821178179 | M. Gary Carter | Ophthalmology | 1867 Forsyth St, Macon, GA 31201-1166 | 2006-10-17 |
| 1962435800 | James Stephen Ellis | Ophthalmology | 626 1st St, Macon, GA 31201-2805 | 2006-07-07 |
| 1518995810 | Norman Crooks Nelson Jr. | Ophthalmology | 160 Water Tower Ct, Macon, GA 31210-4873 | 2006-06-28 |
| 1093798753 | David Wesley Boone | Ophthalmology | 856 1st St, Macon, GA 31201-6875 | 2005-11-26 |
| 1013471721 | Vision Eye Group | Ophthalmology | 4050 Riverside Dr, Macon, GA 31210-1805 | 2019-01-27 |
| 1619127560 | Homer Sheridan Nelson | Ophthalmology | 626 1st St, Macon, GA 31201-2805 | 2008-09-29 |
| 1255530762 | Juan Javier Servat | Ophthalmology | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2007-07-13 |
| 1841321411 | J Gregory Jones Md PC | Ophthalmology | 856 1st St, Macon, GA 31201-6875 | 2007-03-08 |
| Find all providers in MACON | ||||
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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.