MR. MATTHEW COREY GREEN (NPI# 1134503774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134503774 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW COREY GREEN |
| Practice Address |
120 Cahaba Valley Pkwy Suite 100 Pelham AL 35124-1185 |
| Practice Telephone | 2056213778 |
| Practice Fax Number | 2056214835 |
| Mailing Telephone | 2056213778 |
| Mailing Fax Number | 2056214835 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-139417 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558768 | Matthew S Green | Massage Therapist | 20445 Emerald Pkwy Ste 140, Cleveland, OH 44135-6031 | 2019-09-24 |
| 1114394236 | Matthew Dylan Green | Physical Therapist | 2108 Hemlock Dr, Spring Hill, TN 37174-3147 | 2015-08-24 |
| 1104176163 | Matthew Paul Green | Dentist | 12 River Terrace Ct, Apartment 204, Minneapolis, MN 55414-3713 | 2012-09-17 |
| 1619238987 | Matthew Jonathon Green | Dentist | 421 Second St, Traverse City, MI 49684-2004 | 2012-06-04 |
| 1629210992 | Matthew Reed Green | Dermatology | 2546 E 2nd St., #400, Casper, WY 82609 | 2009-04-01 |
| 1124220793 | Matthew Stuart Green | Chiropractor | 6232 La Salle Ave, Oakland, CA 94611-2804 | 2007-06-04 |
| 1679697957 | Matthew Green | Counselor | 1208 Porter Wagoner Blvd, Suite 4, West Plains, MO 65775-1854 | 2007-03-19 |
| 1144203308 | Matthew Peter Green | Medical Genetics, Ph.D. Medical Genetics | 575 Industrial Dr, Louisa, VA 23093-4146 | 2005-11-22 |
| 1427661990 | Matthew Green | Dentist | 2190 Us Highway 27 N, Sebring, FL 33870-1861 | 2020-08-25 |
| 1356982482 | Matthew Green | Behavioral Analyst | 6 Chenell Dr Ste 150, Concord, NH 03301-8505 | 2019-09-30 |
| Street Address |
120 CAHABA VALLEY PKWY SUITE 100 |
| City | PELHAM |
| State | AL |
| Zip Code | 35124-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346204591 | Bhc-cahaba Valley | Internal Medicine | 120 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124-1185 | 2006-04-14 |
| 1689138067 | Taylor Davis | Physician Assistant | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124 | 2019-01-30 |
| 1710427042 | Scott Hunter | Physician Assistant | 120 Cahaba Valley Pkwy, Pelham, AL 35124-1185 | 2017-03-06 |
| 1144605866 | Haley Jost | Nurse Practitioner | 120 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124-1185 | 2015-07-23 |
| 1093136814 | Carrie Garrick | Physical Therapist | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124-1185 | 2013-12-20 |
| 1265720544 | Brookwood Primary Care-oak Mountain, L.L.C. | Family Medicine | 120 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124-1185 | 2011-07-20 |
| 1245537109 | Nathaniel David Coronado | Physical Therapist | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124-1185 | 2011-02-11 |
| 1760701080 | Katie Guess | Nurse Practitioner | 120 Cahaba Valley Pkwy, Suite 201, Pelham, AL 35124-1185 | 2010-05-26 |
| 1972735892 | Lawrence I Lee Md LLC | Internal Medicine | 120 Cahaba Valley Pkwy, Suite 203, Pelham, AL 35124-1185 | 2009-08-11 |
| 1063424935 | Lawrence I. Lee | Internal Medicine | 120 Cahaba Valley Pkwy, Suite203, Pelham, AL 35124-1185 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1376184598 | Benjamin Mcdaniel | Pharmacist | Wal Mart Pharmacy, 2181 Pelham Pkwy, Pelham, AL 35124 | 2019-09-30 |
| 1710545611 | Comfort Dental Care of Pelham LLC | Dentist | 102 Hilltop Business Center Dr, Pelham, AL 35124 | 2019-06-05 |
| 1285124875 | Alabama Tongue-tie Center Inc. | Dentist | 2480 Pelham Pkwy, Pelham, AL 35124 | 2018-05-18 |
| 1831690684 | Lori Ellen Gardner | Counselor | 201 Yeager Pkwy, Pelham, AL 35124 | 2018-02-27 |
| 1184146177 | Rural Urgent Care LLC | Clinic/Center | 300 Big Mountain Rd, Pelham, AL 35124 | 2017-07-11 |
| 1194246330 | Shelby County Health Dept Std | Public Health or Welfare | 2000 County Services Drive, Pelham, AL 35124 | 2017-06-28 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1700266475 | Thrive Behavioral Services, LLC | Behavioral Analyst | 3183 E Pelham Parkway, Pelham, AL 35124 | 2015-06-08 |
| Find all providers in zip 35124 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164974630 | Sidney Lankford Jr. | Nurse Practitioner | 153 Wild Timber Pkwy, Pelham, AL 35124-2530 | 2016-10-31 |
| 1952968430 | Crystal Yvette Hopson | Nurse Practitioner | 245 Cahaba Valley Pkwy Ste 200, Pelham, AL 35124-2217 | 2019-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
| 1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
| 1912519091 | Latresa Chaval Davis | Nurse Practitioner | 3737 Government Blvd Ste 408, Mobile, AL 36693-4362 | 2020-08-19 |
| 1144847930 | Lauren Elizabeth Dial | Nurse Practitioner | 5025 Ewell Ln, Irondale, AL 35210-3305 | 2020-06-29 |
| 1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
| 1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
| 1417580705 | Elizabeth Fay Wasylow | Nurse Practitioner | 1022 County Road 28, Scottsboro, AL 35768-6458 | 2020-02-15 |
| 1124659487 | Shanita Peoples | Nurse Practitioner | 23 Midtown Park W Ste B-1, Mobile, AL 36606-4139 | 2020-01-27 |
| 1104456920 | Southern Divine Family Medical Center LLC | Nurse Practitioner | 7130 6th Ave, Altoona, AL 35952-9052 | 2020-01-21 |
| 1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
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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.