W MICHAEL GREEN, MD INC (NPI# 1063662310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063662310 |
| Entity Type | Organization |
| Organization Name | W MICHAEL GREEN, MD INC |
| Other Organization Name | WILLAM M GREEN, MD INC |
| Practice Address |
2309 Antonio Ave Pathology Department Camarillo CA 93010-1414 |
| Mailing Address |
Po Box 986 Camarillo CA 93011-0986 |
| Practice Telephone | 8053895878 |
| Practice Fax Number | 8053895883 |
| Mailing Telephone | 8054826233 |
| Mailing Fax Number | 8053895883 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | DR. WILLIAM MICHAEL GREEN (PRESIDENT) |
| Authorized Official Telephone | 8054826233 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD | 00G19218 | 01 | |
| CA | GR0059650 | 05 |
| Other Name | Type Code |
|---|---|
| Willam M Green, MD Inc | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376601393 | W Michael Green, Md Inc | Pathology | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2006-12-04 |
| Street Address |
2309 ANTONIO AVE PATHOLOGY DEPARTMENT |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679556906 | St.john's Pleasant Valley Hospital | Special Hospital | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2005-11-21 |
| 1366915431 | Nicole Best | Physical Therapist | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2019-01-10 |
| 1699289355 | Janice Warrick | Nurse Practitioner | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2017-11-16 |
| 1396082764 | Deverie Demornay | Social Worker | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2013-01-05 |
| 1124362330 | Esther Chen Yang | Pharmacist | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2012-11-15 |
| 1740540285 | Vdah Corp | Clinic/Center | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2012-05-17 |
| 1477844884 | Cep America - California | Emergency Medicine | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2011-04-20 |
| 1780843805 | Dignity Health | Clinical Medical Laboratory | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2008-06-04 |
| 1831364769 | Joanne Feldman,m.d. A Professional Corporation | Emergency Medicine | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2008-04-22 |
| 1396936738 | Sarvpreet Bajwa | Emergency Medicine | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2007-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
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| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
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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.