KRISTIAN ASHLEY GREEN (NPI# 1073859401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073859401 |
| Entity Type | Individual |
| Full Name | KRISTIAN ASHLEY GREEN |
| Credential | PA |
| Practice Address |
1435 N Randall Rd Ste 103 Elgin IL 60123-2302 |
| Mailing Address |
Box 78534 Milwaukee WI 53278-8534 |
| Practice Telephone | 8153989491 |
| Practice Fax Number | 8153817498 |
| Mailing Telephone | 8153989491 |
| Mailing Fax Number | 8153817498 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085004557 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085.004557 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1435 N RANDALL RD STE 103 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831138486 | Letitia Barry | Physical Therapist | 1435 N Randall Rd Ste 103, Elgin, IL 60123-2302 | 2006-06-06 |
| 1811461296 | Samantha Walmsley | Specialist/Technologist | 1435 N Randall Rd Ste 103, Elgin, IL 60123-2302 | 2019-01-18 |
| 1902389653 | Subil A Thomas | Physician Assistant | 1435 N Randall Rd Ste 103, Elgin, IL 60123-2302 | 2018-09-10 |
| 1760964522 | Brianne Chase | Physical Therapist | 1435 N Randall Rd Ste 103, Elgin, IL 60123-2302 | 2018-08-29 |
| 1669967352 | Arsala Khan | Physician Assistant | 1435 N Randall Rd Ste 103, Elgin, IL 60123-2302 | 2018-06-26 |
| 1114348786 | Kaitlin C. Gillespie | Physical Therapist | 1435 N Randall Rd Ste 103, Elgin, IL 60123-2302 | 2013-12-26 |
| 1871755983 | Patrick J. Dungan | Occupational Therapist | 1435 N Randall Rd Ste 103, Elgin, IL 60123-2302 | 2008-06-30 |
| 1770701716 | Amritpal Singh Anand | Internal Medicine | 1435 N Randall Rd Ste 103, Elgin, IL 60123-2302 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| 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 |
|---|---|---|---|---|
| 1730696469 | Steven Michael Perri | Physician Assistant | 431 Summit St Ste 101, Elgin, IL 60120-3861 | 2018-01-03 |
| 1184136293 | Colleen Friedlein | Physician Assistant | 370 Summit St Ste 1a, Elgin, IL 60120-3843 | 2017-10-30 |
| 1306389911 | Jason Sarkey | Physician Assistant | 860 Summit St Ste 123, Elgin, IL 60120-4350 | 2016-11-30 |
| 1265701940 | Jason Matthias Henning | Physician Assistant | 101 F St, Elgin, OK 73538-9160 | 2011-12-24 |
| 1669788162 | Kathleen Sofen Guerra | Physician Assistant | 1750 N Randall Rd Ste 120, Elgin, IL 60123-7900 | 2010-08-23 |
| 1033442975 | Jonathan Philip Dollison | Physician Assistant | 218 W Us Highway 290, Elgin, TX 78621-3265 | 2009-09-10 |
| 1306083985 | Ashley Jansen | Physician Assistant | 1750 N. Randall Road, Suite #120, Elgin, IL 60123 | 2009-01-19 |
| 1942423645 | Diana Rhea Reese | Physician Assistant | 750 Fletcher Dr Ste 204, Elgin, IL 60123-4703 | 2007-04-11 |
| 1033233150 | Nancy L Mcpherson | Physician Assistant | 603 East St North, Jacobson Memorial Hospital Care Center, Elgin, ND 58533 | 2007-03-16 |
| 1003956640 | Lindsay J Mccracken | Physician Assistant | 373 Summit St Ste 104, Elgin, IL 60120-3748 | 2007-02-06 |
| Find all providers in ELGIN | ||||
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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.