DR. IAN THOMAS GREENWALT (NPI# 1720405665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720405665 |
| Entity Type | Individual |
| Full Name | DR. IAN THOMAS GREENWALT |
| Credential | M.D. |
| Practice Address |
3800 Reservoir Rd Nw Washington DC 20007-2113 |
| Practice Telephone | 2022950560 |
| Mailing Telephone | 2022950560 |
| Mailing Fax Number | 8773762420 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD047318 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
3800 RESERVOIR RD NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748802 | John Hugh Lynch | Urology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-05-31 |
| 1346841087 | Shahrzad Chitsaz | Pharmacist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-11-07 |
| 1891392296 | Morgan M Casimir | Occupational Therapist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-10-08 |
| 1922615764 | Kelly Trump | Nurse Practitioner | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-25 |
| 1790392819 | La Sheron A Bankhead | Speech-Language Pathologist | 3800 Reservoir Rd Nw, Bles Building, Ground Floor, Room Cg-12, Washington, DC 20007 | 2020-09-24 |
| 1689289688 | Laurie L Nguyen | Registered Nurse | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-15 |
| 1598370652 | Yazan Subhi Juma' | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1326653668 | Allison Elizabeth Boyd | Physician Assistant | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1770198301 | Medstar Medical Group II LLC | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-10 |
| 1497370167 | Kirby K Edsill | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205081015 | Scott Lane Williams | Surgery | 1177 22nd St Nw, Unit 4d, Washington, DC 20037-1252 | 2008-11-20 |
| 1407828387 | David S. Wade | Surgery | 935 Pennsylvania Ave Nw, Washington, DC 20535-0001 | 2006-02-03 |
| 1235688896 | Sugarbaker Hong Surgical Associates PC | Surgery | 106 Irving St Nw, Ste. 3900, Washington, DC 20010-2927 | 2016-09-23 |
| 1316237282 | Danier Moore | Surgery | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2011-04-13 |
| 1619101102 | Joyce Wong | Surgery | 700 2nd St Ne, Washington, DC 20002 | 2009-05-12 |
| 1902063282 | Jack W Rostas IIi | Surgery | 1314 E Walnut St, Washington, IN 47501-2860 | 2008-05-22 |
| 1396883930 | Jeffrey Jerome Pelton | Surgery | 700 2nd St Ne, Washington, DC 20002-8100 | 2007-02-04 |
| 1184658668 | Craig David Shriver | Surgery | 6900 Georgia Ave Nw, Heaton Pavilion, Room 5512, Washington, DC 20307-0003 | 2006-07-10 |
| 1902878713 | Sugarbaker Oncology Associates, PC | Surgery | 106 Irving St Nw, Suite N-3900, Washington, DC 20010-2927 | 2006-02-06 |
| 1407828536 | Surgical Oncology Associates PC | Surgery | 106 Irving St Nw, Suite N-3900, Washington, DC 20010-2927 | 2006-02-02 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20007 |
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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.