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DR. TIMOTHY J GREENAN M.D. NPI 1073562088


NPI Information

NPI: 1073562088
Provider Name: DR. TIMOTHY J GREENAN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
14915 BROSCHART ROAD
SUITE 102
ROCKVILLE, MD
ZIP 20850
Phone: (301) 251-7897
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DR. Timothy J Greenan, M.D. is a diagnostic radiology radiology in Rockville, MD with 38 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Timothy J Greenan, M.D. NPI is 1073562088. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:1986

The provider's business location address is:

14915 BROSCHART ROAD
SUITE 102
ROCKVILLE, MD
ZIP 20850
Phone: (301) 251-7897
Fax: (301) 251-7898

The NPI 1073562088 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 10/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD044122EPENNSYLVANIANo
2174400000XSpecialistD0041613MARYLANDNo
3174400000XSpecialist205142NEW YORKNo
42085R0202XRadiologyDiagnostic RadiologyD0041613MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300119922OTHERNEW YORKMEDICARE RAILROAD
20015522500006MEDICAIDPENNSYLVANIA
3300086644OTHERNEW YORKMEDICARE RAILROAD
401853516MEDICAIDNEW YORK
5307841800MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.