JERRY GREENE M.D. – NPI #1144318916
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

JERRY GREENE is a physician located in WEST ROXBURY, MA. NPPES has assigned the NPI number 1144318916 to JERRY GREENE on October 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was previously updated about 17 years ago on Aug 31, 2009. 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 JERRY GREENE below.

NPI Profile for
JERRY GREENE

NPI Number
1144318916
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JERRY GREENE
Credentials
M.D.
Primary location
1400 VFW PKWY
C/O MEDICAL SERVICE 111
WEST ROXBURY, MA 02132
Phone: (617) 323-7700 Fax:
Mailing address
95 SAWYER RD
WALTHAM, MA 02453-3471
Phone: (781) 392-2008 Fax: (781) 642-8867
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for JERRY 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
MEDICAIDMA3060019
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
207RR0500X
- Internal Medicine / Rheumatology (Primary)
MA 45681

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.