Provider Demographics
NPI:1528036688
Name:GREENBAUM, ARTHUR MORRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:MORRIS
Last Name:GREENBAUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UPMC HORIZON
Mailing Address - Street 2:2200 MEMORIAL DRIVE
Mailing Address - City:FARRELL
Mailing Address - State:PA
Mailing Address - Zip Code:16121
Mailing Address - Country:US
Mailing Address - Phone:724-983-7570
Mailing Address - Fax:
Practice Address - Street 1:UPMC HORIZON
Practice Address - Street 2:2200 MEMORIAL DRIVE
Practice Address - City:FARRELL
Practice Address - State:PA
Practice Address - Zip Code:16121
Practice Address - Country:US
Practice Address - Phone:724-983-7570
Practice Address - Fax:724-983-7562
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35056894174400000X
PAMD-044212E2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE83666Medicare UPIN