MATTHEW PETER GREEN (NPI# 1144203308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144203308 |
| Entity Type | Individual |
| Full Name | MATTHEW PETER GREEN |
| Credential | M.D. |
| Practice Address |
575 Industrial Dr Louisa VA 23093-4146 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 5409672011 |
| Practice Fax Number | 5409672982 |
| Mailing Telephone | 4342951000 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers | ||
| Y | 207Q00000X | Family Medicine | 0101235756 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1144203308 | 05 |
| 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 |
| 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 |
| 1750934030 | Matthew Green | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2019-07-16 |
| Street Address |
575 INDUSTRIAL DR |
| City | LOUISA |
| State | VA |
| Zip Code | 23093-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168377 | Carrie B Ferrel | Nurse Practitioner | 575 Industrial Dr, Louisa, VA 23093-4146 | 2018-09-19 |
| 1992160717 | Carrielyn A. Rhea | Nurse Practitioner | 575 Industrial Dr, Louisa, VA 23093-4146 | 2015-12-21 |
| 1740655570 | Sarah H. Walton | Nurse Practitioner | 575 Industrial Dr, Louisa, VA 23093-4146 | 2015-12-04 |
| 1063832384 | Cryston Michelle Redieske | Nurse Practitioner | 575 Industrial Dr, Louisa, VA 23093-4146 | 2014-04-25 |
| 1225385628 | Annu Prahash | Nurse Practitioner | 575 Industrial Dr, Louisa, VA 23093-4146 | 2012-08-06 |
| 1407158488 | Mary Beth Slagle | Nurse Practitioner | 575 Industrial Dr, Louisa, VA 23093-4146 | 2010-11-24 |
| 1780880021 | Daniel T Chan | Family Medicine | 575 Industrial Dr, Louisa, VA 23093-4146 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299851 | Touching Hearts At Home | Home Health | 102 Church Ave, Louisa, VA 23093 | 2020-06-12 |
| 1265088538 | Hugh Love Wade IIi | Psychologist | 2055 Courthouse Road, Mnes/ School Psyc. Office, Louisa, VA 23093 | 2019-08-13 |
| 1548514979 | Louisa County Rescue Squad | Ambulance | 83 Rescue Ln, Louisa, VA 23093 | 2012-11-07 |
| 1609046473 | County of Louisa Board of Supervisors | Ambulance | 1 Woolfolk Ave, Louisa, VA 23093 | 2008-03-07 |
| 1972726297 | Donna Jo Rife | Speech-Language Pathologist | 143 Scott Lane, Louisa, VA 23093 | 2007-04-11 |
| 1912092438 | Louisa Family Practice, Plc | Clinic/Center | 101 Woolfolk Avenue, Louisa, VA 23093 | 2006-10-03 |
| 1255434908 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 503 Main St, Louisa, VA 23093 | 2006-09-07 |
| 1558374249 | Edward Rex Harkrader Sr. | Family Medicine | 101 Woolfolk Ave, Louisa, VA 23093 | 2006-08-14 |
| 1902813231 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 540 Industrial Dr, Louisa, VA 23093 | 2006-08-01 |
| 1710907985 | Alex H. Rizk | Family Medicine | 575 Industrial Drive, Uva Medical Associates of Louisa, Louisa, VA 23093 | 2006-07-20 |
| Find all providers in zip 23093 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316476336 | Ohio Valley Physicians Inc | Family Medicine | 108 W Madison St Ste A, Louisa, KY 41230-1327 | 2017-06-05 |
| 1083943575 | Odyssey Inc | Family Medicine | 104 North Rice Street, Louisa, KY 41230 | 2009-12-14 |
| 1437348513 | Josie Kinkade | Family Medicine | 6045 Yanceyville Rd, Louisa, VA 23093-4237 | 2007-10-15 |
| 1922178052 | Jeremy C Klein | Family Medicine | 40 Medical Hts, Louisa, KY 41230-9603 | 2006-11-08 |
| 1598859464 | Marc Alan Workman | Family Medicine | 412 N Lock Ave, Louisa, KY 41230 | 2006-10-03 |
| 1558374249 | Edward Rex Harkrader Sr. | Family Medicine | 101 Woolfolk Ave, Louisa, VA 23093 | 2006-08-14 |
| 1710907985 | Alex H. Rizk | Family Medicine | 575 Industrial Drive, Uva Medical Associates of Louisa, Louisa, VA 23093 | 2006-07-20 |
| 1427089028 | Alger Rixey Southall IIi | Family Medicine | 101 Woolfolk Ave., Louisa, VA 23093 | 2006-07-05 |
| 1689646879 | Michael D Richmond | Family Medicine | 115 Jefferson Hwy Ste 9, Louisa, VA 23093-6563 | 2006-02-02 |
| 1134491376 | Chad Mccreary | Family Medicine | 412 N Lock Ave, Louisa, KY 41230-1115 | 2012-02-03 |
| Find all providers in LOUISA | ||||
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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.