DR. STANLEY W GREEN (NPI# 1184610065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184610065 |
| Entity Type | Individual |
| Full Name | DR. STANLEY W GREEN |
| Credential | MD |
| Practice Address |
55 E 100 S Salem UT 84653-8214 |
| Mailing Address |
2122 W 1800 N Pmb 305 Clinton UT 84015-7923 |
| Practice Telephone | 8014232310 |
| Mailing Telephone | 8013100153 |
| Mailing Fax Number | 8017763957 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2010-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
163990-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
163990-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497296297 | Stanley Green | Speech-Language Pathologist | 10411 Narrows Dr, Anderson Island, WA 98303-8664 | 2017-03-13 |
| 1952741423 | Stanley W. Green | Family Medicine | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2013-06-28 |
| 1528067030 | Stanley A Green | Pharmacist | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2005-07-18 |
| Street Address |
55 E 100 S |
| City | SALEM |
| State | UT |
| Zip Code | 84653-8214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487008603 | Douglas Robert Clark | Optometrist | 446 N State Road 198, Salem, UT 84653 | 2016-04-14 |
| 1811357791 | Melanie Pace | Dental Hygienist | 818 East 750 South, Salem, UT 84653 | 2016-03-04 |
| 1265773899 | Bill Clifford Marshall | Marriage & Family Therapist | 405 S Maple Dr, Woodland Hills, UT 84653 | 2013-03-06 |
| 1013159995 | Elder Assisted Living LLC | Assisted Living Facility | 1015 S 550 W, Salem, UT 84653 | 2009-03-24 |
| 1780884247 | David Kent Hansen | Dentist | 204 East 400 North, Suite A, Salem, UT 84653 | 2007-07-23 |
| 1154524965 | Justin Thomas Perry | Dentist | 40 South 200 West, Salem, UT 84653 | 2007-06-08 |
| 1013130947 | John E Braithwaite | Dentist | 40 S 200 W, Salem, UT 84653 | 2007-04-10 |
| 1104972827 | Salem City Corporation | Ambulance | 30 W 100 S, Salem, UT 84653 | 2007-01-26 |
| 1700989209 | James Bryan Bonny | Dentist | 245 W State Hwy 198, Suite 6, Salem, UT 84653 | 2006-09-07 |
| 1578574570 | Kids Who Count | Day Training, Developmentally Disabled Services | 345 N Sr 198, Salem, UT 84653 | 2006-08-11 |
| Find all providers in zip 84653 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730357617 | Ralph E Adams | Radiology | 3506 Cherokee Dr S, Salem, OR 97302-9712 | 2008-02-13 |
| 1760565303 | Piper Rooke | Radiology | 1165 Union St Ne Ste 100, Salem, OR 97301-4693 | 2006-10-24 |
| 1679586234 | Stephen E Fitch | Radiology | Skyline Medical Office, 5125 Skyline Rd, S, Kaiser Permanente, Salem, OR 97306-9427 | 2006-08-14 |
| 1053330639 | Robert S Andrews | Radiology | 11 Coxswain Pl, Salem, SC 29676-4442 | 2006-07-18 |
| 1093731440 | Kenneth H Elson | Radiology | 755 Honeysuckle Rd, Salem, VA 24153-2745 | 2006-07-15 |
| 1306893979 | Mission Medical Imaging | Radiology | 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 | 2006-05-28 |
| 1417908757 | Jose Novoa | Radiology | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2006-05-12 |
| 1093779282 | Edwin Yen Wang | Radiology | 698 12th St Se Ste 145, Salem, OR 97301 | 2006-04-14 |
| 1548247901 | Placido De Guzman | Radiology | 1970 Roanoke Blvd., Salem, VA 24153-6404 | 2005-12-28 |
| 1215924089 | Salem Radiology Associates | Radiology | 310 Woodstown Rd, Salem, NJ 08079-2064 | 2005-10-05 |
| Find all providers in SALEM | ||||
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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.