PHILLIP GREENE MD – NPI #1346248481
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PHILLIP GREENE is a physician located in BREESE, IL. NPPES has assigned the NPI number 1346248481 to PHILLIP GREENE on July 12, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Jan 06, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILLIP GREENE below.

The provider associated with this NPI number, 1346248481, has been excluded by the Office of Inspector General.

NPI Profile for
PHILLIP GREENE

NPI Number
1346248481
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILLIP GREENE
Credentials
MD
Primary location
9515 HOLY CROSS LN STE 112
BREESE, IL 62230-3618
Phone: (618) 526-7271 Fax: (618) 526-7313
Mailing address
6810 STATE ROUTE 162
BOX 215
MARYVILLE, IL 62062-8501
Phone: (618) 391-6405 Fax: (618) 288-4088
Sole Proprietor
No
Updated
Certification Date
Jan 06, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PHILLIP GREENE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDIL08232205
OTHERRAIL ROAD MEDICAREILP00351075
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MO 2004007494

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.