Provider Demographics
NPI:1205843315
Name:GREELEY, ELIZABETH T (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:T
Last Name:GREELEY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:J
Other - Last Name:TERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2000 MEDICAL PKWY STE 409
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3746
Mailing Address - Country:US
Mailing Address - Phone:667-204-7212
Mailing Address - Fax:443-481-4151
Practice Address - Street 1:185 HARRY S TRUMAN PKWY STE 120
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7580
Practice Address - Country:US
Practice Address - Phone:410-224-4442
Practice Address - Fax:410-224-8898
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0066839207VC0200X, 207VM0101X, 207V00000X
MA223584207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207VC0200XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyCritical Care Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
412826OtherRI BLUE CHIP
MA1662090OtherCIGNA
MD416933600Medicaid
MA93335OtherFALLON
MDK4800007OtherCAREFIRST BCBS
MA460284OtherTUFTS
MA000000030737OtherBMC HEALTHNET
MA2103796Medicaid
MAAA35636OtherHPHC
MAJ28729OtherMABC
MD547428ZDWSMedicare PIN
MA000000030737OtherBMC HEALTHNET
MA93335OtherFALLON
MAI37148Medicare UPIN