TYLER CHRISTOPHER GREENFIELD D.O. NPI 1306030606

NPI Information

NPI: 1306030606
Provider Name: TYLER CHRISTOPHER GREENFIELD, D.O.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
750 E ADAMS ST
UPSTATE UNIVERSITY HOSPITAL
SYRACUSE, NY
ZIP 13210
Phone: (315) 464-4363
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Tyler Christopher Greenfield, D.O. is a pediatric emergency medicine pediatrics in Syracuse, NY. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Tyler Christopher Greenfield, D.O. NPI is 1306030606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 E ADAMS ST
UPSTATE UNIVERSITY HOSPITAL
SYRACUSE, NY
ZIP 13210-342
Phone: (315) 464-4363
Fax: (315) 464-8690

The NPI 1306030606 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 8/29/2007 and was last updated on 8/26/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	OS015034	PENNSYLVANIA	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	252188	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03600213	MEDICAID	NEW YORK

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: 11/14/2023

NPI Synchronization or Removal

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