MR. GREGORY E. GREEN SR. (NPI# 1285875534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285875534 |
| Entity Type | Individual |
| Full Name | MR. GREGORY E. GREEN SR. |
| Credential | PA-C |
| Practice Address |
2000 Nw 119th St Apt 903 Miami FL 33167-2746 |
| Practice Telephone | 7862615642 |
| Mailing Telephone | 7862615642 |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-9104265 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318303 | Gregory Allen Green | Nurse Practitioner | 2246 Rocky Face Cir, Dalton, GA 30720-2946 | 2019-10-25 |
| 1033430145 | Gregory Green | Chiropractor | 1214 W 43rd St, Suite 400, Houston, TX 77018-4235 | 2010-06-14 |
| 1144405663 | Gregory Green | Chiropractor | 201 E Airport Dr, Suite B, San Bernardino, CA 92408-3403 | 2008-01-03 |
| 1366532095 | Gregory Eugene Green | Dentist | 500 Crescent St, Menomonie, WI 54751-1829 | 2006-10-13 |
| 1093737819 | Gregory Roper Green | Family Medicine | 2600 Tower Dr Ste 106, Monroe, LA 71201-5783 | 2006-07-24 |
| 1689665101 | Gregory Chad Green | Optometrist | 1401 Us Highway 80 W, Demopolis, AL 36732-4127 | 2005-11-03 |
| 1780673525 | Gregory G Green | Psychiatry & Neurology | 376 Apple Ave, Suite 307, Muskegon, MI 49442-3466 | 2005-10-14 |
| 1619976982 | Gregory V Green | Orthopaedic Surgery | 3435 Ne Loop 286, Paris, TX 75460-5002 | 2005-07-19 |
| Street Address |
2000 NW 119TH ST APT 903 |
| City | MIAMI |
| State | FL |
| Zip Code | 33167-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183711 | Yusleydi Almaguer | Behavioral Analyst | 1205 Nw 116 Terr, Miami, FL 33167 | 2017-06-09 |
| 1952833477 | Lakeashi Lewis | Custodial Care Facility | 11910 N.w 19 Ave. #a, Miami, FL. 33167 | 2017-04-03 |
| 1326499617 | Roilan Hernandez | Behavior Technician | 12525 Nw 18th Ct, Miami, FL 33167 | 2016-06-28 |
| 1083064497 | Sierra Watkins | Behavioral Analyst | 15710 Nw 37th Place, Miami, FL 33167 | 2016-06-16 |
| 1790022093 | Adryanas Tech Codding One Corp | Contractor | 1363 Nw118th St, Miami, FL 33167 | 2013-01-08 |
| 1366574220 | Jose M Jules | Respiratory Therapist, Certified | 14611 Nw 13rd, Miami, FL 33167 | 2007-03-09 |
| 1881614212 | Synergy Pharmacy & Medical Supplies | Durable Medical Equipment & Medical Supplies | 1543 Nw 119 St, Miami, FL 33167 | 2006-07-20 |
| 1255362877 | Phanord & Associates Pa | Dentist | 1245 Nw 119 St, Miami, FL 33167 | 2006-07-05 |
| 1194761213 | Mary Cecilia Crosby | Dentist | 1245 Nw 119th Street, North Miami, FL 33167 | 2006-06-20 |
| 1669998605 | Whitney Victoria Drayton | Pharmacist | 6200 Nw 7th Ave, Miami, FL 33167 | 2017-08-22 |
| Find all providers in zip 33167 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574450 | Carlos Humberto Jaen Sr. | Physician Assistant | 1685 Sw 17th Ter, Miami, FL 33145-2809 | 2020-06-25 |
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1174037477 | Polina Dasgupta | Physician Assistant | 1390 Brickell Ave Ste 340, Miami, FL 33131-3324 | 2017-11-22 |
| 1437514247 | Evelyn Hernandez | Physician Assistant | 13024 Sw 108th Street Cir, Miami, FL 33186-3419 | 2015-12-21 |
| 1366813966 | Mabel Marichal | Physician Assistant | 13205 Sw 137th Ave Ste 221, Miami, FL 33186 | 2015-10-08 |
| 1427444033 | Tecresha Shaw | Physician Assistant | 104 Nw 145th St, Miami, FL 33168-4930 | 2015-04-09 |
| 1356730964 | Christopher Alvaro Ortiz | Physician Assistant | 9401 Sw 105th Ave, Miami, FL 33176-2623 | 2015-01-20 |
| 1275937948 | Nicole Quicuti | Physician Assistant | 12061 Sw 126th Ter, Miami, FL 33186-6107 | 2014-10-09 |
| 1356750541 | Jonathan E Delvalle | Physician Assistant | 2400 Nw 54th St, Miami, FL 33142-2946 | 2014-08-13 |
| 1164853149 | Melissa Troha | Physician Assistant | 7800 Sw 87th Ave # B200, Miami, FL 33173 | 2013-12-02 |
| Find all providers in MIAMI | ||||
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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.