GREENWOOD PEDIATRICS PC (NPI# 1689773681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689773681 |
| Entity Type | Organization |
| Organization Name | GREENWOOD PEDIATRICS PC |
| Practice Address |
1030 E County Line Rd Suite B2 Indianapolis IN 46227-2932 |
| Practice Telephone | 3178876060 |
| Practice Fax Number | 3178595946 |
| Mailing Telephone | 3178876060 |
| Mailing Fax Number | 3178595946 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-02-02 |
| Authorized Official Name | DR. CAROL G JOHNSON (VP) |
| Authorized Official Telephone | 3178876060 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100193950A | 05 |
| Street Address |
1030 E COUNTY LINE RD SUITE B2 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629776 | Carol G Johnson | Pediatrics | 1030 E County Line Rd, Ste B2, Indianapolis, IN 46227-2933 | 2005-06-20 |
| 1194250464 | Eva Stringer | Social Worker | 1030 E County Line Rd, Ste C1, Indianapolis, IN 46227-2932 | 2017-04-25 |
| 1972961381 | Tondra Crum | Counselor | 1030 E County Line Rd, Indianapolis, IN 46227-2932 | 2016-02-01 |
| 1396100921 | Courtney Ashbrock | Counselor | 1030 E County Line Rd, Ste C-1, Indianapolis, IN 46227-2932 | 2015-12-26 |
| 1265817076 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 1030 E County Line Rd, Suite B3, Indianapolis, IN 46227-2932 | 2015-07-22 |
| 1821367384 | Cheryle Coveney | Nurse Practitioner | 1030 E County Line Rd, B-2, Indianapolis, IN 46227-2932 | 2011-12-29 |
| 1073808960 | Emily Marie Wogtech | Physical Therapist | 1030 E County Line Rd, Suite A2, Indianapolis, IN 46227-2932 | 2011-06-18 |
| 1306046826 | Diagnostic Rheumatology and Research PC | Internal Medicine | 1030 E County Line Rd, Suite B1, Indianapolis, IN 46227-2932 | 2007-07-23 |
| 1174601009 | Julie Ann Boyd | Dentist | 1030 E County Line Rd, Suite A 1, Indianapolis, IN 46227-2932 | 2006-11-01 |
| 1992808380 | William Mosi Jones | Physical Medicine & Rehabilitation | 1030 E County Line Rd, Suite B3, Indianapolis, IN 46227-2932 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447780069 | Ann Freshour | Pediatrics | 575 Riley Hospital Dr Ste Xe-040, Indianapolis, IN 46202-5272 | 2017-06-15 |
| 1700339983 | Buria Naeem | Pediatrics | 705 Riley Hospital Dr Rm 4900, Indianapolis, IN 46202-5109 | 2016-07-25 |
| 1013362839 | Christine Nix | Pediatrics | 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202-5209 | 2016-04-29 |
| 1477915791 | Sarah Patton Supples | Pediatrics | 705 Riley Hospital Dr Roc4340, Indianapolis, IN 46202 | 2016-03-25 |
| 1801283205 | Korre Leigh Fairman | Pediatrics | 1030 W Michigan St Ste C4600, Indianapolis, IN 46202 | 2015-04-23 |
| 1912393240 | Dana Nezon | Pediatrics | Windrose Health Network - Epler Park, 5550 S. East St., Indianapolis, IN 46227 | 2015-04-14 |
| 1922412162 | Jodie Meara | Pediatrics | Riley Children's Hospital Ri 3006 Phase IIi, 705 Riley Hospital Drive, Indianapolis, IN 46202 | 2014-06-16 |
| 1265877690 | Kristen Mary Schroeder | Pediatrics | 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202-2872 | 2013-04-29 |
| 1396189056 | Jessica Lucille Horan | Pediatrics | 699 Riley Hospital Dr, Room Rr 208, Indianapolis, IN 46202-5119 | 2013-04-24 |
| 1841581311 | Meaghan Elisabeth Keller | Pediatrics | 8414 Naab Rd Ste 200, Indianapolis, IN 46260-1972 | 2011-05-02 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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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.