MELVIN GADDIS GREEN JR. (NPI# 1225059082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225059082 |
| Entity Type | Individual |
| Full Name | MELVIN GADDIS GREEN JR. |
| Credential | MD |
| Practice Address |
304 Marcella Rd Ste D Hampton VA 23666 |
| Practice Telephone | 7578274980 |
| Practice Fax Number | 7578251639 |
| Mailing Telephone | 7578274980 |
| Mailing Fax Number | 7578251639 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101024895 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 740072 | 01 |
| VA | 6067361 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972840452 | Melvin Richard Green Jr. | Specialist | 2106 E Sonterra Blvd Ste 111, Studio 42, San Antonio, TX 78259-7608 | 2013-01-03 |
| Street Address |
304 MARCELLA RD STE D |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677930 | Bruce Walter Reid | Orthopaedic Surgery | 304 Marcella Rd, Suite B, Hampton, VA 23666-2578 | 2005-08-23 |
| 1780290767 | Paul G La Pointe | Physical Therapist | 304 Marcella Rd, Ste E, Hampton, VA 23666 | 2020-09-16 |
| 1093252900 | Pamela O Tucker | Physical Therapist | 304 Marcella Rd, Ste E, Hampton, VA 23666 | 2017-01-30 |
| 1104293745 | Stephens C Owens | Physical Therapist | 304 Marcella Rd, Ste E, Hampton, VA 23666 | 2015-08-31 |
| 1861785487 | Avery E Miller | Physical Therapist | 304 Marcella Rd, Hampton, VA 23666-2578 | 2011-05-17 |
| 1497074827 | Peninsula Orthopaedic Group, PC | Orthopaedic Surgery | 304 Marcella Rd, Suite B, Hampton, VA 23666-2578 | 2010-05-25 |
| 1902131725 | Dominion Physical Therapy and Associates Incorporated | Specialist | 304 Marcella Rd, Suite E, Hampton, VA 23666-2578 | 2009-10-13 |
| 1801073903 | Rachel N Tyler | Physical Therapist | 304 Marcella Rd, Suite E, Hampton, VA 23666-2578 | 2008-01-30 |
| 1609969641 | Peninsula Orthopaedic Group, PC | Orthopaedic Surgery | 304 Marcella Rd, Suite B, Hampton, VA 23666-2578 | 2006-10-02 |
| 1346288917 | Manuel Michael Chaknis | Clinical Neuropsychologist | 304 Marcella Rd, Ste B, Hampton Roads Behavioral Health PC, Hampton, VA 23666 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952718520 | Kashmal Patel | Internal Medicine | 49 W Mercury Blvd, Hampton, VA 23669-2508 | 2014-07-16 |
| 1962812396 | Sabita R Sarkar | Internal Medicine | 100 Emancipation Dr Hampton Va 23667, Hampton, VA 23667-2237 | 2014-05-07 |
| 1588924252 | Iris Castro-revoredo Md Inc | Internal Medicine | 13957 Woolsey Rd, Hampton, GA 30228-2246 | 2012-05-29 |
| 1215220389 | Mamta Ojha | Internal Medicine | 4001 Coliseum Dr Ste 300, Hampton, VA 23666-6257 | 2011-05-24 |
| 1477888659 | Theodore R Reiff | Internal Medicine | 2 Diamond Hill Rd, Hampton, VA 23666-6009 | 2009-10-06 |
| 1588894455 | Thomas Michael Shea | Internal Medicine | 37 Diller Way, Hampton, NJ 08827-2533 | 2009-07-24 |
| 1588824072 | Jennifer Christiansen | Internal Medicine | 428 Lafayette Rd, Apt 101, Hampton, NH 03842-2268 | 2008-06-10 |
| 1073715736 | William Edward Brown IIi | Internal Medicine | 6 Manhattan Sq Ste 100, Hampton, VA 23666-5846 | 2007-06-04 |
| 1356468466 | Abdul H. Jamaludeen, Md | Internal Medicine | 441 Algonquin Rd, Hampton, VA 23661-1515 | 2007-03-23 |
| 1326124884 | Anacleto Gamit Gallanosa | Internal Medicine | 39 Timberline Drive, Hampton, VA 23666 | 2006-10-27 |
| Find all providers in HAMPTON | ||||
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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.