DR. BENJAMIN GREEN (NPI# 1154852085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154852085 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN GREEN |
| Credential | DPM |
| Practice Address |
680 W Monroe St Wytheville VA 24382-2240 |
| Practice Telephone | 2762282212 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103301302 | VA | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184703662 | Benjamin P. Green | Psychiatry & Neurology | 4495 Hale Pkwy., Ste. 360, Denver, CO 80220 | 2006-11-03 |
| 1356838619 | Benjamin Lawrence Green | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2018-04-21 |
| 1720410699 | Benjamin Green | Dentist | 301 W Hopkins St, San Marcos, TX 78666-4403 | 2013-08-02 |
| 1134431422 | Benjamin Joseph Green | Surgery | 540 E Jefferson St, Suite 205, Iowa City, IA 52245-2477 | 2010-07-02 |
| 1407918915 | Benjamin Michael Green | Family Medicine | 505 S 336th St, Suite 500, Federal Way, WA 98003-5947 | 2006-12-14 |
| Street Address |
680 W MONROE ST |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 24382-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942263934 | Heather B Pearman | Podiatrist | 680 W Monroe St, Wytheville, VA 24382-2240 | 2006-04-10 |
| 1780047936 | Adam Dicks | Podiatrist | 680 W Monroe St, Wytheville, VA 24382-2240 | 2016-04-04 |
| 1942256490 | Soutwest Podiatry, P.C. | Podiatrist | 680 W Monroe St, Wytheville, VA 24382-2240 | 2006-05-26 |
| 1073576062 | Teddy R Johnson | Podiatrist | 680 W Monroe St, Wytheville, VA 24382-2240 | 2006-04-10 |
| 1548223555 | Janet E. Bechtel | Podiatrist | 680 W Monroe St, Wytheville, VA 24382-2240 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
| 1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| 1629639497 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 425 Grayson Presbyterian Road, Wytheville, VA 24382 | 2019-06-24 |
| 1023527926 | Emily Kingrey | Occupational Therapist | 800 E Main St., Suite 310, Wytheville, VA 24382 | 2017-09-22 |
| 1184149247 | Linda Huber | Driver | 610 E Washington St, Wytheville, VA 24382 | 2017-08-10 |
| 1578987558 | Family Preservation Services, Inc | Community/Behavioral Health | 695 East Marshall Street, Wytheville, VA 24382 | 2014-02-11 |
| 1255774121 | Forest Pharmacy Inc | Pharmacy | 1787 W Lee Highway, Suite B, Wytheville, VA 24382 | 2013-04-10 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1669604385 | Catherine Elizabeth Russell | Physical Therapist | 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 | 2009-08-13 |
| Find all providers in zip 24382 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942263934 | Heather B Pearman | Podiatrist | 680 W Monroe St, Wytheville, VA 24382-2240 | 2006-04-10 |
| 1780047936 | Adam Dicks | Podiatrist | 680 W Monroe St, Wytheville, VA 24382-2240 | 2016-04-04 |
| 1942256490 | Soutwest Podiatry, P.C. | Podiatrist | 680 W Monroe St, Wytheville, VA 24382-2240 | 2006-05-26 |
| 1073576062 | Teddy R Johnson | Podiatrist | 680 W Monroe St, Wytheville, VA 24382-2240 | 2006-04-10 |
| 1548223555 | Janet E. Bechtel | Podiatrist | 680 W Monroe St, Wytheville, VA 24382-2240 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909228 | The Ankle and Foot Clinic of Northern Virginia, Pllc | Podiatrist | 12628 Tide View Ct, Bristow, VA 20136-1175 | 2020-10-09 |
| 1912542713 | Michael A Dente Jr Dpm Plc | Podiatrist | 356 Mclaws Cir Ste 1, Williamsburg, VA 23185-6345 | 2019-11-15 |
| 1609431964 | Ana Anahit Emirzian | Podiatrist | 3300 Gallows Road, Original Building, Falls Church, VA 22042-3307 | 2019-05-02 |
| 1508329913 | District Foot and Ankle | Podiatrist | 4875 Eisenhower Ave Ste 230, Alexandria, VA 22304-4833 | 2019-04-11 |
| 1104300359 | Vineela Ayyagari | Podiatrist | 9017 Fletcher Farm Ct, Manassas, VA 20112-5867 | 2018-09-23 |
| 1083137871 | Rural Podiatry, LLC | Podiatrist | 7010 Mountain Rd, Halifax, VA 24558-2392 | 2017-07-24 |
| 1356863781 | Chen Foot & Ankle Center LLC | Podiatrist | 1948 Jenkins Mill Rd, Suffolk, VA 23437-9401 | 2017-07-07 |
| 1568982247 | Soumaya Bader | Podiatrist | 632 Cedar Rd Ste B, Chesapeake, VA 23322-8376 | 2017-06-22 |
| 1013440569 | Richard Bruno | Podiatrist | 2790 Godwin Blvd Ste 355, Suffolk, VA 23434-8173 | 2017-04-11 |
| 1497289961 | David Chan | Podiatrist | 224d Cornwall St Nw # 203100, Leesburg, VA 20176-2713 | 2017-04-11 |
| Find all providers with the same taxonomy | ||||
| City | WYTHEVILLE |
| Zip Code | 24382 |
Please comment or provide details below to improve the information on DR. BENJAMIN GREEN.
| 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.