DR. ROGER LEROY GREEN (NPI# 1275537912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275537912 |
| Entity Type | Individual |
| Full Name | DR. ROGER LEROY GREEN |
| Credential | MD |
| Practice Address |
1200 Mclain St Newport AR 72112-3534 |
| Practice Telephone | 8705239852 |
| Practice Fax Number | 8705233583 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2012-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R4063 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 102811001 | 05 | |
| AR | BCBS | 52008 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639200157 | Roger Alan Green | Dentist | 13920 W Camino Del Sol Ste 9, Sun City West, AZ 85375-4438 | 2007-03-08 |
| 1295764892 | Roger A. Green | Nurse Practitioner | 6630 S Mccarran Blvd Ste A12, Reno, NV 89509-6114 | 2006-07-03 |
| 1376591321 | Roger D Green | Specialist | 550 Route 299, Suite 200, Highland, NY 12528-2875 | 2006-05-04 |
| 1215917968 | Roger Elliott Green | Dermatology | 657 Camino De Los Mares, Suite 242, San Clemente, CA 92673 | 2006-01-19 |
| Street Address |
1200 MCLAIN ST |
| City | NEWPORT |
| State | AR |
| Zip Code | 72112-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720476005 | White County Medical Center | Clinic/Center | 1200 Mclain St, Newport, AR 72112-3534 | 2015-01-08 |
| 1548662182 | Omar Aziz | Obstetrics & Gynecology | 1200 Mclain St, Newport, AR 72112 | 2014-09-25 |
| 1902033558 | Ralph A Teed Jr. | Dentist | 1200 Mclain St, Newport, AR 72112-3534 | 2009-06-22 |
| 1518123868 | Sharon Lynn Rogers | Clinical Nurse Specialist | 1200 Mclain St, Newport, AR 72112-3534 | 2008-08-05 |
| 1083733554 | Ralph A Teed Dds,pa | Dentist | 1200 Mclain St, Suite 8, Newport, AR 72112-3534 | 2007-03-28 |
| 1801845201 | National Healthcare of Newport Inc | Clinic/Center | 1200 Mclain St, Newport, AR 72112-3534 | 2006-05-10 |
| 1588663660 | Harris Medical Clinics Inc. | Pediatrics | 1200 Mclain St, Newport, AR 72112-3534 | 2005-07-20 |
| 1316943632 | William Kent | Family Medicine | 1200 Mclain St, Newport, AR 72112-3534 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1285188789 | Jasmine Mansko | Speech-Language Pathologist | 1128 S Main St, Newport, AR 72112 | 2016-08-12 |
| 1366831877 | Madison Eddington | Physical Therapy Assistant | 1807 Jetta Drive, Newport, AR 72112 | 2015-01-21 |
| 1750514840 | Ralph Irwin Wray | Counselor | 107 Laurel St, Newport, AR 72112 | 2009-08-24 |
| 1952558264 | Maxus Inc | Counselor | 2000 Mclain, Suite B, Newport, AR 72112 | 2008-08-19 |
| 1275748725 | Troy Larry Vincent Sr. | Counselor | 1507 N. Pecan St., Newport, AR 72112 | 2007-05-10 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1295895670 | Allene Cummings | Social Worker | 1507 North Pecan Street, Newport, AR 72112 | 2006-12-08 |
| 1295801207 | Brandy Diane Young | Speech-Language Pathologist | 221 Lindley Lane, Newport, AR 72112 | 2006-11-28 |
| Find all providers in zip 72112 | ||||
| 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 |
|---|---|---|---|---|
| 1144859802 | Virginia Revill | Family Medicine | 1586 Depaul Rd, Newport, TN 37821-6280 | 2020-04-05 |
| 1285164145 | Lesli Ashten Anderson | Family Medicine | 1200 Mclain St Ste B, Newport, AR 72112-3550 | 2017-06-14 |
| 1346552148 | Virgincita Fuentes Rodriguez | Family Medicine | 2000 Mclain St Ste B, Newport, AR 72112-3661 | 2010-07-08 |
| 1336379569 | Anna Hehl-bisson | Family Medicine | 3132 Newport Rd, North Park Plaza, Newport, MI 48166-6100 | 2009-07-22 |
| 1891935151 | Oakwood Ambulatory, LLC | Family Medicine | 3132 Newport, Suite 107, Newport, MI 48166 | 2009-02-26 |
| 1518081520 | Rachel Beth Disanto | Family Medicine | 81 Medical Village Dr Ste 1, Family Practice of Newport, Newport, VT 05855-9897 | 2007-03-16 |
| 1891834719 | Safe Harbour Family Care | Family Medicine | 129 Chatham St, Newport, NC 28570 | 2007-02-06 |
| 1366515249 | Thomas Ae Moseley | Family Medicine | 121 Medical Village Drive, Newport, VT 05855 | 2006-11-16 |
| 1871688499 | Denise Aileen Niemira | Family Medicine | 5452 U.S. Rt. 5, Ste. D, Newport, VT 05855 | 2006-10-03 |
| 1790885838 | Allegra L Shumway | Family Medicine | 79 Coventry St, Newport, VT 05855-2206 | 2006-09-25 |
| Find all providers in NEWPORT | ||||
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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.