Physician Compare National (NPI:1922182534)

HEALTHCARE PROVIDER: RICHARD STEPHEN GREENE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922182534
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799791018
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060223000690
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GREENE
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	910 WAYNE RD
	Group Practice or individual's line 1 address
City	SAVANNAH
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	383721981
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7319254405
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440109
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HARDIN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y