DR. WAVERLY SYNDOR GREEN III


Address: 580 Saint Johnsbury Rd, Suite 25, Littleton, NH 03561-3437
Phone: 6032597780

DR. WAVERLY SYNDOR GREEN III (NPI# 1235123191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235123191
Entity Type Individual
Full Name DR. WAVERLY SYNDOR GREEN III
Credential MD
Practice Address 580 Saint Johnsbury Rd
Suite 25
Littleton
NH 03561-3437
Practice Telephone 6032597780
Practice Fax Number 6034442769
Mailing Telephone 6032597780
Mailing Fax Number 6034442769
Enumeration Date 2005-09-07
Last Update Date 2012-09-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
15701 NH Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
9300133 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS-IND. 29211 01
NC 7937060 05

Office Location

Street Address 580 SAINT JOHNSBURY RD
SUITE 25
City LITTLETON
State NH
Zip Code 03561-3437

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104446939 Amy Lynnette Seaman Respiratory Therapist, Certified 580 Saint Johnsbury Rd, Littleton, NH 03561-3437 2020-04-22
1932665312 Stephane Rene Campagna Nurse Practitioner 580 Saint Johnsbury Rd, Littleton, NH 03561-3437 2019-02-11
1366851578 The Alpine Clinic, Pllc Orthopaedic Surgery 580 Saint Johnsbury Rd, Suite 13, Littleton, NH 03561-3437 2014-08-13
1932544970 Littleton Hospital Association Orthopaedic Surgery 580 Saint Johnsbury Rd, Littleton, NH 03561-3437 2013-05-03
1194059055 Littleton Hospital Association Family Medicine 580 Saint Johnsbury Rd, Littleton, NH 03561-3437 2009-09-25
1629205703 White Mountain Family Healthcare Littleton Inc. Clinic/Center 580 Saint Johnsbury Rd, Suite K, Littleton, NH 03561-3437 2009-06-16
1033376306 M. Bernice Dinner Audiologist 580 Saint Johnsbury Rd, Littleton, NH 03561-3437 2008-05-22
1699958538 Jennifer J. Lucas Urology 580 Saint Johnsbury Rd, Littleton, NH 03561-3437 2007-12-14
1609056118 Littleton Internal Medicine, PC Internal Medicine 580 Saint Johnsbury Rd, Suite11, Littleton, NH 03561-3437 2007-11-13
1912107285 Joel Robert Tuite Optometrist 580 Saint Johnsbury Rd, Suite 12, Littleton, NH 03561-3437 2007-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497391536 Christopher Lee Flores Toves Registered Nurse Littleton Regional Healthcare, 600 Saint Johnsbury Road, Littleton, NH 03561 2019-11-25
1588017446 Genevieve Mary Kelley Family Medicine 580 Saint Johnsbury Rd Ste K, Littleton, NH 03561 2016-07-15
1578924072 Taveras Transportation Non-emergency Medical Transport (VAN) 103 Farr Hill Rd, Littleton, NH 03561 2016-03-10
1417216466 Karl Herzig Pharmacist 25 Mount Eutis Rd, Ammonoosuc Community Health Services, Littleton, NH 03561 2012-05-11
1952678377 Francis Joseph Dunn Jr. Pharmacist 25 Mount Eustis Road, Littleton, NH 03561 2011-11-30
1164738514 Susan Jane Fraser Pharmacist 118 -136 Meadow St, Littleton, NH 03561 2010-08-24
1174706071 Jean Langevin Orthopaedic Surgery 580 Sain Johnsbury Road, Alpine Clinic - Littleton, Littleton, NH 03561 2007-12-13
1609094028 Catherine Hier Counselor 229 Cottage Street, Littleton, NH 03561 2007-04-23
1932323136 Northern New England Compounding Pharmacy Pharmacy 338 Union St, Littleton, NH 03561 2007-04-12
1801917216 Patrick Fitzpatrick Allergy & Immunology 580 St. Jonsbury Rd., Littleton, NH 03561 2007-04-03
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194932913 Littleton Pulmonary Consultants Pllc Internal Medicine 7780 S Broadway, Suite 360, Littleton, CO 80122-2648 2007-05-17
1255424347 Robert D Ballard Internal Medicine 15 W Dry Creek Cir, Littleton, CO 80120 2006-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134338858 Vinia Madonna Castillo Mendoza Internal Medicine 21 Whitehall Rd Ste 302, Rochester, NH 03867-3236 2007-05-21
1013067297 Maria A Davila Internal Medicine 1611 Hooksett Rd, Hooksett, NH 03106-1621 2007-01-11
1154340271 Eduardo Velez Calderon Internal Medicine 166 Kinsley Street, Suite 101 Pulmonary Associates, Nashua, NH 03060 2006-07-19
1508829078 Elizabeth A. Lynch Internal Medicine 1 Little River Rd, Kingston, NH 03848-3117 2006-04-07
1427057454 Robert Cameron Brethauer Internal Medicine 706 Riverway Pl, Bedford, NH 03110-6768 2005-07-20
1295087468 Syed Mudassar Naqshbandi Internal Medicine 789 Central Ave, Dover, NH 03820-2526 2012-10-11
1932464211 Haitham Al Ashry Internal Medicine 185 Queen City Ave, Manchester, NH 03101-7121 2012-07-12
1144589375 Catherine A. Stadler Internal Medicine 246 Pleasant Street Memorial Building, West, Ground Flo, Concord, NH 03301-2588 2012-05-08
1790090017 Elliot Professional Services Internal Medicine 706 Riverway Pl, Bedford, NH 03110-6768 2010-08-11
1699007799 Sleep Institute of New England, Pllc Internal Medicine 1 Little River Rd, Kingston, NH 03848-3117 2010-02-01
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Competitor

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City LITTLETON
Zip Code 03561

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Dataset Information

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.

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