LISE M GREENBERG (NPI# 1932187390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932187390 |
| Entity Type | Individual |
| Full Name | LISE M GREENBERG |
| Credential | MD |
| Practice Address |
103 Bata Blvd Ste A Belcamp MD 21017 |
| Mailing Address |
9910 Franklin Square Dr # 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 4105756611 |
| Practice Fax Number | 4103672141 |
| Mailing Telephone | 4109335412 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0057137 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CHOICE | W647001U | 01 | |
| MHIP | 522338017 | 01 | |
| COVENTRY | 522338017 | 01 | |
| MD | CAREFIRST MPOS-GBMC | KJ15GB/P18428 | 01 |
| MD | CAREFIRST MARYLAND | KJ15GB/611506-03 | 01 |
| MD | 698201800 | 05 | |
| AETNA HMO | 2683650 | 01 | |
| UHC | 522338017 | 01 | |
| HEALTHNET | 15185 | 01 | |
| HELIX | 522338017 | 01 | |
| CIGNA | 522338017 | 01 | |
| AETNA PPO | 7132271 | 01 | |
| MPOS | K582 | 01 | |
| MD | CAREFIRST REGIONAL GBMC | S138-0163 | 01 |
| MAMSI | 813176 | 01 | |
| PHCS | 522338017 | 01 |
| Street Address |
103 BATA BLVD STE A |
| City | BELCAMP |
| State | MD |
| Zip Code | 21017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669925194 | Amanda Kelly | Nurse Practitioner | 103 Bata Blvd Ste A, Belcamp, MD 21017-1420 | 2016-08-02 |
| 1063638922 | Warren Scott Monks | Physician Assistant | 103 Bata Blvd Ste A, Belcamp, MD 21017-1420 | 2007-04-18 |
| 1154473999 | Somajita Ghosal | Internal Medicine | 103 Bata Blvd Ste A, Belcamp, MD 21017-1420 | 2007-01-18 |
| 1932204716 | Elizabeth Jo Johnson | Physician Assistant | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-14 |
| 1215031612 | Marilyn Moshay Cooper | Pediatrics | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-08 |
| 1619070125 | Bernhard Birnbaum | Internal Medicine | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912039 | Gloria Fern Moretz | Nurse Practitioner | 103 Bata Blvd, John Hopkins Community Physicians Waters Edge, Baltimore, MD 21017 | 2005-06-16 |
| 1689937260 | Glass Health Programs, Inc. | Community/Behavioral Health | 1361 Brass Mill Rd, Suite A, Bel Camp, MD 21017 | 2012-06-19 |
| 1861537532 | Laurie Bothwell | Emergency Medicine | 103 Bata Blvd, Suite A, Belcamp, MD 21017 | 2007-02-21 |
| 1730237330 | Stephen E Gentile | Dentist | 1321 Riverside Pkwy, D 4, Belcamp, MD 21017 | 2007-01-08 |
| 1689184442 | Arrow Child & Family Ministries of Maryland | Community/Behavioral Health | 1370 Brass Mill Rd, Belcamp, MD 21017-1211 | 2017-10-06 |
| 1346887486 | Lori Ann Levy | Occupational Therapist | 1370 Brass Mill Rd, Belcamp, MD 21017-1211 | 2019-12-09 |
| 1548319056 | Alliance Inc | Community/Behavioral Health | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2007-01-10 |
| 1629522248 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-08-11 |
| 1629420583 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-07-05 |
| 1245682129 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-07-05 |
| Find all providers in zip 21017 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049114 | Medexpress Primary Care Maryland, P.C. | Family Medicine | 4622 Mercedes Dr, Belcamp, MD 21017-1223 | 2019-12-06 |
| 1265535769 | Steven Pondek | Family Medicine | 103 Bata Blvd, Suite A, Belcamp, MD 21017-1431 | 2006-09-07 |
| 1982653663 | Howard C. Yang | Family Medicine | 103 Bata Blvd, Suite A, Belcamp, MD 21017-1420 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1437757267 | Janice C Vaz | Family Medicine | 13912 Natia Manor Dr, North Potomac, MD 20878-4859 | 2020-10-14 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1740893650 | Melissa Josanne Richards | Family Medicine | 4511 Old Court Rd, Pikesville, MD 21208-2428 | 2020-08-29 |
| 1861003121 | Mind Algn LLC | Family Medicine | 7920 Norfolk Ave Ste 290, Bethesda, MD 20814-2500 | 2020-08-11 |
| 1669095402 | Refresh Pain and Wellness, LLC | Family Medicine | 6314 Windsor Mill Rd Ste 100, Gwynn Oak, MD 21207-6078 | 2020-05-27 |
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
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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.