MR. KEVIN JOSEPH GREEN (NPI# 1053521302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053521302 |
| Entity Type | Individual |
| Full Name | MR. KEVIN JOSEPH GREEN |
| Credential | P.A |
| Practice Address |
1450 Scalp Ave Suite 106 Johnstown PA 15904-3374 |
| Mailing Address |
105 Alvin St Johnstown PA 15904-1833 |
| Practice Telephone | 8142668466 |
| Practice Fax Number | 8142660177 |
| Mailing Telephone | 8142661544 |
| Mailing Fax Number | 8142660177 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA002387-L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497227151 | Kevin Lee Green | Physician Assistant | 10221 E 81st St, Tulsa, OK 74133-4559 | 2018-12-19 |
| 1003319161 | Kevin Bernard Green | Non-emergency Medical Transport (VAN) | 10217 Woodland Hills Dr, Cordova, TN 38018-6663 | 2018-03-15 |
| 1346602927 | Kevin Roy Green | Internal Medicine | 653-1 W 8th St # L18, Jacksonville, FL 32209-6511 | 2016-03-23 |
| 1801901897 | Kevin Robert Green | Acupuncturist | 1259 W 20th Ave, Oshkosh, WI 54902-6650 | 2006-08-20 |
| 1699770495 | Kevin J Green | Optometrist | 2038 Monument Ave, Richmond, VA 23220-2708 | 2005-06-17 |
| 1649605965 | Kevin M Green | Marriage & Family Therapist | 199 N 290 W, Suite 150, Lindon, UT 84042-1810 | 2013-09-05 |
| 1922237312 | Kevin M Green | Chiropractor | 500 N Financial Ter, Ste G, Mustang, OK 73064-4437 | 2009-07-07 |
| 1114165941 | Kevin Anthony Green IIi | Counselor | 2112 Riverdale Street, West Springfield, MA 01089 | 2009-02-02 |
| 1831265628 | Kevin P Green | Social Worker | 2021 Grand Concourse Fl 9, Bronx, NY 10453-4304 | 2006-11-26 |
| 1851485411 | Kevin Finnie Green | Urology | 2542 Langhorne Rd, Lynchburg, VA 24501-1602 | 2006-10-03 |
| Street Address |
1450 SCALP AVE SUITE 106 |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859580 | Conemaugh Health Initiatives | Psychiatry & Neurology | 1450 Scalp Ave, Johnstown, PA 15904-3374 | 2005-05-23 |
| 1982058327 | Western Pennsylvania Orthopedic and Sports Medicine, Inc. | Prosthetic/Orthotic Supplier | 1450 Scalp Ave, Suite 1055, Johnstown, PA 15904-3321 | 2016-04-22 |
| 1861808909 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 1450 Scalp Ave, Ste. 003b, Johnstown, PA 15904-3374 | 2014-07-09 |
| 1528470846 | Julie Lesneski | Nurse Practitioner | 1450 Scalp Ave, Suite 003b, Johnstown, PA 15904-3321 | 2014-05-21 |
| 1487089629 | Sharon Vucina Seidel | Counselor | 1450 Scalp Ave, Suite 209, Johnstown, PA 15904-3374 | 2013-09-06 |
| 1437425683 | Kristen Barcaro | Psychiatry & Neurology | 1450 Scalp Ave, Ste 2100, Johnstown, PA 15904-3321 | 2012-03-31 |
| 1235409582 | Lindsay Walker | Physician Assistant | 1450 Scalp Ave, Suite 1000, Johnstown, PA 15904-3374 | 2012-01-04 |
| 1508184953 | Nicholas J Lanciano | Psychiatry & Neurology | 1450 Scalp Ave, Ste 2100, Johnstown, PA 15904-3374 | 2010-05-10 |
| 1851618532 | Croyle-serbin Therapeutic Associates, PC | Social Worker | 1450 Scalp Ave, Stuite 209, Johnstown, PA 15904-3374 | 2010-04-21 |
| 1063645034 | Erin Lynn Martella | Physician Assistant | 1450 Scalp Ave, Suite 106, Johnstown, PA 15904-3321 | 2009-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508055641 | Kristi Lynn Paetzel | Physician Assistant | 4840 Larimer Pkwy Bldg 1, Johnstown, CO 80534-9012 | 2007-10-15 |
| 1174561419 | James Mendillo | Physician Assistant | 1450 Scalp Ave Ste 106, Johnstown, PA 15904-3340 | 2006-06-02 |
| 1316903487 | Jennifer L Naylor | Physician Assistant | 1425 Scalp Ave Ste 175, Johnstown, PA 15904-3324 | 2006-04-26 |
| 1396716601 | Melissa Jay Leonardis | Physician Assistant | 334 Bloomfield St, Johnstown, PA 15904 | 2006-01-27 |
| 1386629483 | Joan Venerosa | Physician Assistant | 700 S. Perry St., St. Mary's Hospital Fam Hlth Cntr At Johnstown Pediatri, Johnstown, NY 12095 | 2005-12-12 |
| 1891301776 | Karen Richtar | Physician Assistant | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-09-16 |
| 1225643612 | Calli Morgan Smith | Physician Assistant | 100 Susan Dr, Johnstown, PA 15905-2826 | 2020-09-11 |
| 1215546411 | Jessica Miele | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-07-24 |
| 1508480542 | Ellen Kingdom | Physician Assistant | 4397 Ronald Reagan Blvd, Johnstown, CO 80534-6445 | 2020-06-05 |
| 1093355059 | Kristen Thompson | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-01-08 |
| Find all providers in JOHNSTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.