OrganizationActive
Greenville Medical Center
NPI 1902874142 · Body Imaging Physician · Greenville, PA
Provider details
- NPI number
- 1902874142
- Entity type
- Organization
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thora Jackson, Administrator(724) 589-4300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Allergy & Immunology Physician207K00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Hematology & Oncology Physician207RH0003X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Practice location
90 Shenango St
Greenville, PA 16125-2060
Phone: (724) 588-4240
Fax: (724) 588-0198
Approximate (ZIP-level) locationGet directions
Mailing address
90 Shenango St
Greenville, PA 16125-2060
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.