Paul Reginald Greenlaw

Adult Reconstructive Orthopaedic Surgery Carolina East Medical Center NPI1558320291

Summary

About

Paul Reginald Greenlaw specialises in Adult Reconstructive Orthopaedic Surgery. He currently works at Carolina East Medical Center in North Carolina and has affiliate with 4 other institutions.

Provider Details

NPI Number 1558320291
Provider Name Paul Reginald Greenlaw
Credential
Specialization Adult Reconstructive Orthopaedic Surgery
Medical School Name Tufts University School Of Medicine
Graduation Year 1997
Gender M
Entity Type Individual
PAC ID by PECOS 3971604877
Professional Enrollment ID I20070723000243
Enumeration Date 03/21/2006
Last Update Date 12/30/2022

Contact Details

Business Practice address 738 NEWMAN RD, New Bern,
28562-5238 North Carolina View on Google Map
Business Practice phone 252-634-2676
Business Practice fax 252-637-4479
Mailing address PO BOX 68, Pollocksville,
28573-0068 North Carolina View on Google Map
Other phone 252-634-2676
Other fax 252-637-4479
Email Address shannonfig@domain.com Reval Email Address
Incorrect information? Update the NPI Details for Paul Reginald Greenlaw Update NPI

Payments

Total Payment Worth

$23,362.35
from 29 payments in the last 6 years

Total Cash or Cash Equivalent

$21,809.41
from 5 payments in the last 6 years

Total In-kind Items & Services

$1,552.94
from 24 payments in the last 6 years

Hospital Affilitation

Carolina East Medical Center in New Bern

New Bern, North Carolina

Vidant Edgecombe Hospital

Vidant Medical Center

Wayne Memorial Hospital

Unc Lenoir Health Care

Education & Training

Tufts University School Of Medicine

Adult Reconstructive Orthopaedic Surgery, 1997

Group Affiliation

Organization Name PECOS PAC ID Members
Carolinaeast Physicians 0143378117 152
Carolina Orthopedic And Sports Medicine Inc 8527151455 24

Public Reporting for Performance Scores

More Details

Final MIPS Score

83.97 out of 100

Score Breakdown

Quality Category Score 65.91
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 179
Source of Scores: group
Newsletter for Healthcare Professionals

Provider Taxonomy Details

Provider Taxonomy 1
Taxonomy
License No.
200200697 (North Carolina)
Primary Taxonomy
Taxonomy
License No.
200200697 (North Carolina)

Reference NPI Information (as per NPPES NPI Record)

Field Name Field Value
NPI 1558320291
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Individual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor N
Indicate whether provider is a sole proprietor.
  • A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.
  • In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.
  • There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.
  • In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).
  • As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
  • A sole proprietorship may or may not have employees.
  • Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN.
  • Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).
Provider Last Name (Legal Name) Greenlaw
The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Name Paul
The first name of the provider, if the provider is an individual.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address PO BOX 68
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Business Mailing Address City Name Pollocksville
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name North Carolina
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 28573-0068
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider Business Mailing Address Telephone Number 252-634-2676
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.
Provider Business Mailing Address Fax Number 252-637-4479
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider First Line Business Practice Location Address 738 NEWMAN RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name New Bern
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name North Carolina
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 28562-5238
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 252-634-2676
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 252-637-4479
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 03/21/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 12/30/2022
The date that a record was last updated or changed.
Provider Gender Code M
The code designating the provider's gender if the provider is a person.
Provider Gender Male
The provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code #1 207XS0114X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Healthcare Provider Taxonomy #1
Provider License Number 1 200200697
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1 NC
Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch 1 N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code #2 207X00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 2 An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Healthcare Provider Taxonomy #2
Provider License Number 2 200200697
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2 NC
Provider License Number State Code #2
Healthcare Provider Primary Taxonomy Switch 2 Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.