Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greenville Medical Center

Organization Allergy & Immunology Physician · NPI 1902874142

Greenville Medical Center is an Allergy & Immunology Physician in Greenville, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7

Practice location Address checks out

90 Shenango St
Greenville, PA 16125-2060
Phone: (724) 588-4240
Fax: (724) 588-0198
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X
Allergy & Immunology Physician Taxonomy 207K00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Hematology & Oncology Physician Taxonomy 207RH0003X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1902874142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thora Jackson — Administrator · (724) 589-4300
NPI enumeratedMarch 14, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address90 Shenango St, Greenville, PA 16125-2060

Other providers in Greenville