Healthcare Provider Details

I. General information

NPI: 1598711863
Provider Name (Legal Business Name): DAVID J. GREENFIELD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 KENWOOD CROSSING WAY SUITE 100
CINCINNATI OH
45236-3668
US

IV. Provider business mailing address

9825 KENWOOD RD SUITE 200
CINCINNATI OH
45242-6251
US

V. Phone/Fax

Practice location:
  • Phone: 513-221-5500
  • Fax: 513-221-1962
Mailing address:
  • Phone: 513-221-5500
  • Fax: 513-221-1962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number031538
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: