DAVID A GREENE (NPI# 1104802594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104802594 |
| Entity Type | Individual |
| Full Name | DAVID A GREENE |
| Credential | MD |
| Practice Address |
5555 Montgomery Dr Santa Rosa CA 95409-8846 |
| Mailing Address |
3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 |
| Practice Telephone | 7075796957 |
| Practice Fax Number | 7075796979 |
| Mailing Telephone | (707) 579-6957 |
| Mailing Fax Number | 7075796979 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C148038 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 20639 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64206394 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3536 Mendocino Ave Ste 300, Santa Rosa, CA 954033634 | 7075796957 | 7075796679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548716608 | David Greene | Registered Nurse | 4433 67th Ave E, Fife, WA 98424-2368 | 2016-08-29 |
| 1982957833 | David Greene | Social Worker | 8500 N Stemmons Fwy Ste 3010i, Dallas, TX 75247-3927 | 2012-10-16 |
| 1174829550 | David Greene | Counselor | 2021 Sw Custer St, Portland, OR 97219-2645 | 2011-02-02 |
| 1477566867 | David Keith Greene II | Dentist | 1611 S Main St, Hopkinsville, KY 42240-1975 | 2006-08-15 |
| 1003823162 | David Lee Greene | Obstetrics & Gynecology | 153 Pioneer Ln Ste C, Bishop, CA 93514-2517 | 2006-08-02 |
| 1336189547 | David E Greene | Physician Assistant | 1698 E Mcandrews Rd Ste 400, Medford, OR 97504-5590 | 2006-06-07 |
| 1043262389 | David Greene | Otolaryngology | 1112 Goodlette Rd N Ste 203, Naples, FL 34102-5499 | 2006-05-16 |
| 1326015934 | David S Greene | Optometrist | 120 Vision Dr, Cornelia, GA 30531-5737 | 2006-03-02 |
| 1376544825 | David French White Greene | Podiatrist | 226 W Queen St, Hampton, VA 23669-4006 | 2005-08-09 |
| 1568072619 | David J Greene | Social Worker | 332 Lawnridge Rd, Orange, NJ 07050-3011 | 2020-08-04 |
| Street Address |
5555 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-8846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174920771 | Ida Jahed, Md, Inc. | Internal Medicine | 5555 Montgomery Dr, Santa Rosa, CA 95409-8846 | 2014-11-25 |
| 1841312170 | Diane Pearl Cummings | Physical Therapy Assistant | 5555 Montgomery Dr, Spring Lake Village Skilled Nursing Facility, Santa Rosa, CA 95409 | 2007-04-06 |
| 1114097557 | Covia Communities | Skilled Nursing Facility | 5555 Montgomery Dr, Santa Rosa, CA 95409-8846 | 2006-11-09 |
| 1073541199 | Ida Jahed | Family Medicine | 5555 Montgomery Dr, Santa Rosa, CA 95409-8846 | 2006-06-29 |
| 1821077231 | Northern California Medical Assoc Inc | Internal Medicine | 5555 Montgomery Dr, Santa Rosa, CA 95409-8846 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640820 | Northern California Medical Assoc Inc | Internal Medicine | 830 2nd St Ste A, Santa Rosa, CA 95404-4620 | 2019-10-11 |
| 1457613275 | Shelleen E. Denno, Md, Inc. | Internal Medicine | 2285 Olivet Ln, Santa Rosa, CA 95401-3860 | 2012-06-08 |
| 1043509920 | Ann Katz Press | Internal Medicine | 30 Mark West Springs Rd Ofc, Santa Rosa, CA 95403-1436 | 2011-03-31 |
| 1376786947 | Jaya Reddy Mallidi | Internal Medicine | 500 Doyle Park Dr Ste G05, Santa Rosa, CA 95405-4555 | 2009-04-13 |
| 1003072851 | Sutter Medical Group of The Redwoods | Internal Medicine | 4725a Hoen Ave, Santa Rosa, CA 95405-7862 | 2008-07-31 |
| 1639355266 | North Coast Hospitalist, PC | Internal Medicine | 122 Calistoga Rd, 305, Santa Rosa, CA 95409-3702 | 2008-01-14 |
| 1932388659 | Jennifer Nguyen Hubert, D.o., Inc | Internal Medicine | 1014 Hopper Ave, # 615, Santa Rosa, CA 95403-1613 | 2007-10-30 |
| 1144412560 | Zeyad Hashem Kanaan | Internal Medicine | 3883 Airway Dr Ste 220, Santa Rosa, CA 95403 | 2007-08-10 |
| 1447451935 | Todd Jay Hofeling | Internal Medicine | 3883 Airway Dr Ste 130, Santa Rosa, CA 95403 | 2007-05-30 |
| 1932244779 | John Mcdougall | Internal Medicine | 2777 4th St, Santa Rosa, CA 95405-4795 | 2007-02-20 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
Please comment or provide details below to improve the information on DAVID A GREENE.
| 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.