DR. JOHN JUSTIN GREEN (NPI# 1255318572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255318572 |
| Entity Type | Individual |
| Full Name | DR. JOHN JUSTIN GREEN |
| Credential | DO |
| Practice Address |
14131 Metropolis Ave Suite 104 Fort Myers FL 33912-4455 |
| Mailing Address |
15880 Summerlin Rd Pmb 207 Ft Myers FL 33908-9612 |
| Practice Telephone | 2393324099 |
| Practice Fax Number | 2393324088 |
| Mailing Telephone | 2393324099 |
| Mailing Fax Number | 2393324088 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2012-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS8155 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497065551 | John Armstrong Green | Dentist | 5029 S 1200 E, Ogden, UT 84403-4297 | 2010-10-07 |
| 1558513218 | John Eddie Green | Dentist | 38 Pembroke Ln, San Antonio, TX 78240-2594 | 2008-10-14 |
| 1750531414 | John Green II | Dentist | Us Army Dentac Bavaria, Unit 28038, Apo, AE 09112 | 2008-09-30 |
| 1316133416 | John Green | Registered Nurse | 6724 Castle Creek Dr, Fort Worth, TX 76132-3708 | 2007-09-21 |
| 1386766202 | John W Green | Pharmacist | 1221 Rushridge Rd, Jefferson, IA 50129-2306 | 2007-04-03 |
| 1952425605 | John Michael Green Jr. | Dentist | 4608 W 103rd St, Oak Lawn, IL 60453-4719 | 2007-03-19 |
| 1104958495 | John M Green | Chiropractor | 1115 Belcher Lane, Hartsville, TN 37074-3859 | 2007-03-12 |
| 1649318437 | John Paul Green | Social Worker | 54 Willshire Dr, Williamstown, MA 01267-2927 | 2007-02-02 |
| 1114072444 | John N Green | Internal Medicine | 90 Us Highway 22 W, Springfield, NJ 07081-3110 | 2007-01-25 |
| 1114082559 | John W. Green | Family Medicine | 2562 Kinard St, Newberry, SC 29108-2910 | 2006-12-26 |
| Street Address |
14131 METROPOLIS AVE SUITE 104 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455168 | Asif H Choudhury | Internal Medicine | 14131 Metropolis Ave, Suite 101, Fort Myers, FL 33912-4455 | 2005-11-29 |
| 1891963302 | Asif H Choudhury Md Pa | Internal Medicine | 14131 Metropolis Ave, Suite 101, Fort Myers, FL 33912-4455 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| 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 |
|---|---|---|---|---|
| 1104423862 | Lee Senior Services, LLC | Internal Medicine | 4100 Center Pointe Dr Ste 111&112, Fort Myers, FL 33916-9460 | 2020-10-06 |
| 1396366985 | Tritel Concierge Medicine LLC | Internal Medicine | 6846 International Center Blvd Ste A, Fort Myers, FL 33912-7155 | 2020-05-05 |
| 1861031015 | Priority Health Medical Center | Internal Medicine | 3660 Central Ave Ste 6, Fort Myers, FL 33901-7647 | 2020-01-04 |
| 1609334796 | Rifmetic | Internal Medicine | 3910 Williamson Rd, Fort Myers, FL 33905-6208 | 2019-03-07 |
| 1215309331 | Axel1 Health LLC | Internal Medicine | 4820 Griffin Blvd, Fort Myers, FL 33908-2016 | 2015-10-28 |
| 1518337492 | Barry K Butler P.a. | Internal Medicine | 10708 Bradbury Way, Fort Myers, FL 33913 | 2015-10-05 |
| 1639548225 | Colonia Medical Specialty Group | Internal Medicine | 4531 Deleon St Ste 207, Fort Myers, FL 33907-1280 | 2015-09-24 |
| 1659756476 | Sean Hess | Internal Medicine | 9671 Gladiolus Dr Ste 104, Fort Myers, FL 33908-7684 | 2015-07-22 |
| 1114326774 | Quiles Cruz Medical Services Pa | Internal Medicine | 8112 Felisa Ct, Fort Myers, FL 33912-8951 | 2014-08-20 |
| 1144589854 | Seth William Jelinek | Internal Medicine | 13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 | 2012-05-15 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on DR. JOHN JUSTIN GREEN.
| 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.