DR. ROSS WAYNE GREEN (NPI# 1205194156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205194156 |
| Entity Type | Individual |
| Full Name | DR. ROSS WAYNE GREEN |
| Credential | D.P.M. |
| Practice Address |
3631 N Harlem Ave Chicago IL 60634-2237 |
| Practice Telephone | 7737252953 |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2012-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
016.005502 | IL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447639109 | Ross Steven Green | Neurological Surgery | Msc10 5615, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-05-27 |
| 1710229992 | Ross William Green | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl # 1189, New York, NY 10029-6500 | 2013-03-26 |
| 1235526419 | Ross David Green | Family Medicine | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2015-04-24 |
| 1992835912 | Ross Green | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2007-03-07 |
| Street Address |
3631 N HARLEM AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881624872 | Malik Zayed | Podiatrist | 3631 N Harlem Ave, Chicago, IL 60634-2237 | 2006-07-04 |
| 1720533524 | Hemabh Chandra Mishra | Podiatrist | 3631 N Harlem Ave, Chicago, IL 60634-2237 | 2016-08-22 |
| 1801298690 | Ella Ostrovskaya Dpm, S.c. | Residential Treatment Facility, Physical Disabilities | 3631 N Harlem Ave, Chicago, IL 60634-2237 | 2014-09-23 |
| 1467799338 | Avijit Kumar | Podiatrist | 3631 N Harlem Ave, Chicago, IL 60634-2237 | 2013-01-11 |
| 1770769465 | Malik Zayed Dpm | Podiatrist | 3631 N Harlem Ave, Chicago, IL 60634-2237 | 2008-01-14 |
| 1013094432 | Marwan Zayed | Podiatrist | 3631 N Harlem Ave, Chicago, IL 60634-2237 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| Find all providers in zip 60634 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952600058 | Magdala Danielle Lafontant | Podiatrist | 6374 N Lincoln Ave Ste 205, Chicago, IL 60659-1283 | 2011-03-15 |
| 1780801548 | Edgewater Beach Foot and Ankle Center, P.C. | Podiatrist | 5331 N Sheridan Rd, Chicago, IL 60640-2531 | 2007-04-20 |
| 1932285509 | Moeed Ekbal | Podiatrist | 2400 N Lakeview Ave Apt 2703, Chicago, IL 60614-2741 | 2006-10-27 |
| 1487677076 | David T Hong | Podiatrist | 180 W Washington St, Suite 930, Chicago, IL 60602-3580 | 2006-07-25 |
| 1952394751 | Johnny Dan Parker | Podiatrist | 8601 S Cottage Grove Ave, Chicago, IL 60619-6107 | 2005-08-26 |
| 1669478640 | Andrew Benedict O'keefe Jr. | Podiatrist | 6374 N Lincoln Ave, Ste 314, Chicago, IL 60659-1275 | 2005-06-23 |
| 1679197644 | Corey Czarnecki | Podiatrist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-04 |
| 1497152516 | My Doctor P C | Podiatrist | 2811 W Greenleaf Ave, Chicago, IL 60645-2913 | 2014-12-04 |
| 1851729370 | Midwest Podiatric Physicians, P.C. | Podiatrist | 1229 N North Branch St, Ste 308, Chicago, IL 60642-2473 | 2013-10-18 |
| 1194062661 | Dr. Kaye Lagdaan, P.C. | Podiatrist | 4112 N Lincoln Ave, Chicago, IL 60618-3028 | 2013-01-03 |
| Find all providers in CHICAGO | ||||
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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.