DR. RICHARD JOSEPH GREEN III (NPI# 1215049762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215049762 |
| Entity Type | Individual |
| Full Name | DR. RICHARD JOSEPH GREEN III |
| Credential | M.D. |
| Practice Address |
213 Vine St Johnstown PA 15901-1518 |
| Practice Telephone | 8145355841 |
| Practice Fax Number | 8145393424 |
| Mailing Telephone | 8145355841 |
| Mailing Fax Number | 8145393424 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD029508 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 001696852 | 01 |
| PA | GATEWAY HEALTH PLAN | 1035506 | 01 |
| PA | UPMC | 252575 | 01 |
| PA | 0011025510001 | 05 | |
| PA | UMWA | 1364035 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841774734 | Richard Dennis Green | Dentist | 11980 San Vicente Blvd Ste 600, Los Angeles, CA 90049-6604 | 2018-09-18 |
| 1669710919 | Richard Green | Occupational Therapy Assistant | 1168 Huntington Place Cir, Lithonia, GA 30058-3034 | 2013-01-22 |
| 1083928139 | Richard Charles Green | Massage Therapist | 5526 Nw 29th St, Gainesville, FL 32653-1861 | 2010-07-31 |
| 1801069273 | Richard J. Green | Hearing Instrument Specialist | 1817 N Union Blvd, Suite C, Colorado Springs, CO 80909-2268 | 2008-04-08 |
| 1972723617 | Richard Bernard Green | Counselor | 151 Finch Pl Sw Ste C, Bainbridge Island, WA 98110-2588 | 2007-04-26 |
| 1245379619 | Richard John Green | Dentist | 6300 Democracy Blvd, Bethesda, MD 20817-1664 | 2007-02-05 |
| 1134219041 | Richard Lawrence Green | Chiropractor | 4 Avery St, 4th Floor, Boston, MA 02111-1005 | 2006-10-13 |
| 1447355540 | Richard Green | Radiology | 2203 W 116th Pl, Chicago, IL 60643-4735 | 2006-09-13 |
| 1326051376 | Richard Brownlow Green | Dentist | 387 Town Mountain Road, Pikeville, KY 41501-1641 | 2006-08-14 |
| 1184632291 | Richard Green | Counselor | 3551 Front St, San Diego, CA 92103-4815 | 2006-08-04 |
| Street Address |
213 VINE ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15901-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063693828 | Richard J Green Md PC | Clinic/Center | 213 Vine St, Johnstown, PA 15901-1518 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821540758 | Valley Vision Care | Optometrist | 132 Market St., Johnstown, PA 15901 | 2016-10-26 |
| 1649515552 | Nulton Diagnostic & Treatment Center, PC. | Community/Behavioral Health | 110 Franklin Street, Suite 100, Johnstown, PA 15901 | 2012-12-04 |
| 1811126113 | Paul Richard Hoover | Counselor | 131 Market Street, Johnstown, PA 15901 | 2009-07-08 |
| 1013128495 | Subarna Hamid Eisaman | Internal Medicine | 337 Somerset Street, Upmc-john P. Murtha Regional Cance, Department of Radiation Oncology, Johnstown, PA 15901 | 2007-05-25 |
| 1912049115 | Charles G Shea Dmd PC | Dentist | 225 Vine St, Johnstown, PA 15901 | 2007-02-13 |
| 1982773297 | Thomas J Bach | Dentist | 504 Franklin St, Johnstown, PA 15901 | 2006-11-08 |
| 1659458396 | Joseph Andrew Balaschak | Dentist | 216 Dibert Street, Johnstown, PA 15901 | 2006-11-01 |
| 1306951561 | Barry James Senior | Dentist | 248 Vine Street, Johnstown, PA 15901 | 2006-08-20 |
| 1316979396 | Vicki Hess | Social Worker | 417 Main Street, Johnstown, PA 15901 | 2006-07-07 |
| 1043270143 | Highland R Campbell Jr. | Emergency Medicine | 1086 Frankling St, Conemaugh Emergency Physicians Group, Johnstown, PA 15901 | 2006-03-24 |
| Find all providers in zip 15901 | ||||
| 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 |
|---|---|---|---|---|
| 1699290411 | Rg Vargo Do Inc | Family Medicine | 738 W Coshocton St, Johnstown, OH 43031-9581 | 2017-08-14 |
| 1972957132 | Travis Rearick | Family Medicine | 1450 Scalp Ave # 3b, Johnstown, PA 15904-3321 | 2016-04-14 |
| 1598025801 | Prerana Bhupendrakumar Patel | Family Medicine | 1 Tech Park Dr Ste 1130, Johnstown, PA 15901-2517 | 2012-05-21 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1871814624 | Richard Adam Wagner | Family Medicine | 295 County Hwy. 156, Johnstown, NY 12095-4123 | 2010-06-16 |
| 1720240112 | Jimmy Pyakurel | Family Medicine | 334 Bloomfield St Ste 205, Johnstown, PA 15904-3269 | 2008-06-27 |
| 1205007820 | Conemaugh Health Initiatives | Family Medicine | 338 Bloomfield St, Johnstown, PA 15904-3272 | 2008-03-24 |
| 1144369869 | Carol E. Kowtoniuk | Family Medicine | 226 Fairfield Ave, Johnstown, PA 15906-2310 | 2007-02-06 |
| 1861531766 | Sharon Marie Plank | Family Medicine | 1450 Scalp Ave Ste 1000, Johnstown, PA 15904-3335 | 2007-02-06 |
| 1942399134 | Cara E. Brown | Family Medicine | 473 Castle Pines Ave Ste 1, Johnstown, CO 80534-7859 | 2006-10-12 |
| Find all providers in JOHNSTOWN | ||||
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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.