Provider Demographics
NPI:1396770996
Name:GREENFIELD ASSOCIATES, M.D., P.A.
Entity type:Organization
Organization Name:GREENFIELD ASSOCIATES, M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-224-4926
Mailing Address - Street 1:139 OLD SOLOMONS ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-0904
Mailing Address - Country:US
Mailing Address - Phone:410-224-2222
Mailing Address - Fax:410-224-4926
Practice Address - Street 1:139 OLD SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-0904
Practice Address - Country:US
Practice Address - Phone:410-224-2222
Practice Address - Fax:410-224-4926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD081681700Medicaid
MD272251800Medicaid
MD690102600Medicaid
MD772051300Medicaid
MD151451200Medicaid
H38413Medicare UPIN
D74596Medicare UPIN
D76171Medicare UPIN
E93718Medicare UPIN
K725BF17Medicare ID - Type Unspecified
MD081681700Medicaid
MD690102600Medicaid
K725D451Medicare ID - Type Unspecified
K72599INMedicare ID - Type Unspecified
MD151451200Medicaid