TIMOTHY GREEN (NPI# 1356324537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356324537 |
| Entity Type | Individual |
| Full Name | TIMOTHY GREEN |
| Credential | PA |
| Practice Address |
181 Daniel Rd Ste A Forest City NC 28043-7151 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 8282879504 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 101971 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7810 Providence Rd, Ste 102, Charlotte, NC 282262954 | 7045436636 | |
| 5717 Albemarle Rd, Charlotte, NC 282121634 | 7045632150 | |
| 10210 Couloak Dr, Ste E, Charlotte, NC 282167679 | 7048012000 | |
| 5727 Prosperity Crossing Dr, Ste 1100, Charlotte, NC 282692206 | 7048639930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887265 | Timothy J Green | Speech-Language Pathologist | 6 Wolcott St, Wakefield, MA 01880-1528 | 2013-09-11 |
| 1558537936 | Timothy E Green | Chiropractor | 205 E Boundry St, Farmerville, LA 71241-2353 | 2008-05-05 |
| 1740809920 | Timothy Francis Green | Social Worker | 1150 S Olive St Ste 1400, Los Angeles, CA 90015-2871 | 2020-04-08 |
| 1457739039 | Timothy Green | Internal Medicine | 1020 Lenape Dr, Nowata, OK 74048 | 2015-05-14 |
| Street Address |
181 DANIEL RD STE A |
| City | FOREST CITY |
| State | NC |
| Zip Code | 28043-7151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821092784 | Jane Bramham | Internal Medicine | 181 Daniel Rd, Forest City, NC 28043-7151 | 2005-06-09 |
| 1336606417 | Jessica Hatcher | Physician Assistant | 181 Daniel Rd, Ste A, Forest City, NC 28043-7151 | 2019-02-26 |
| 1780107367 | Cynthia Bohacek | Nurse Practitioner | 181 Daniel Rd, Ste A, Forest City, NC 28043-7151 | 2017-07-25 |
| 1831550177 | Loretta G. Catton | Nurse Practitioner | 181 Daniel Rd, Rutherford Internal Medicine Associates Suite A, Forest City, NC 28043-7151 | 2016-03-15 |
| 1831559434 | Andrea Anglin Morrissey | Nurse Practitioner | 181 Daniel Rd, Suite A, Forest City, NC 28043-7151 | 2016-02-25 |
| 1437518214 | Pamela Skeels | Nurse Practitioner | 181 Daniel Rd, Forest City, NC 28043-7151 | 2016-02-22 |
| 1508247826 | Tami Ford | Nurse Practitioner | 181 Daniel Rd, Forest City, NC 28043-7151 | 2015-06-11 |
| 1902223076 | Carolinas Physicians Network Inc | Internal Medicine | 181 Daniel Rd, Ste A, Forest City, NC 28043-7151 | 2014-03-26 |
| 1174956205 | Faria Amber Irani | Internal Medicine | 181 Daniel Rd, Forest City, NC 28043-7151 | 2013-08-13 |
| 1609217793 | Ingrid Sandahl | Nurse Practitioner | 181 Daniel Rd, Forest City, NC 28043-7151 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528475530 | Lori Hammond West | Pharmacist | 139 East Main St, Forest City, NC 28043 | 2014-07-22 |
| 1982989943 | Hope Care Center, Inc. | Assisted Living Facility | 136 Yelton's Circle, Forest City, NC 28043 | 2011-10-20 |
| 1770804643 | Brandi R Holtsclaw | Physical Therapist | 2270 Us Hwy 74a Suite 341, Onesource Rehab, Forest City, NC 28043 | 2010-06-15 |
| 1093944217 | New Start of The Piedmont Inc. | Community/Behavioral Health | 331 South. Broadway Street., Forest City, NC 28043 | 2009-07-09 |
| 1568690493 | Directcare Community Based Services, LLC | Community/Behavioral Health | 129 First Street, Forest City, NC 28043 | 2009-06-30 |
| 1760663058 | Americare Developmental Services | Residential Treatment Facility, Emotionally Disturbed Children | 313 Harrill Rd, Forest City, NC 28043 | 2007-11-15 |
| 1255529038 | Respiratory At Home Plus, Corp. | Durable Medical Equipment & Medical Supplies | 338 Withrow Road, Suite D, Forest City, NC 28043 | 2007-10-05 |
| 1821129362 | K D Support Services / Kelly's Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 158 Us Highway 221a, Forest City, NC 28043 | 2007-03-08 |
| 1407986714 | Americas Living Centers LLC | Custodial Care Facility | 128 Country Meadows Lane, Forest City, NC 28043 | 2007-03-06 |
| 1821157256 | Hopewell Care Inc. | Assisted Living Facility | 141 Fox Run, Forest City, NC 28043 | 2006-12-08 |
| Find all providers in zip 28043 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699823443 | Robert Charles Du Charme Jr. | Physician Assistant | 128 Hazelwood Dr, Forest City, NC 28043-6143 | 2007-01-08 |
| 1326044165 | Margaret Krusch | Physician Assistant | 136 Sparks Dr, Forest City, NC 28043-9021 | 2005-06-27 |
| 1073171591 | Megan Brewer | Physician Assistant | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2019-05-30 |
| 1336606417 | Jessica Hatcher | Physician Assistant | 181 Daniel Rd, Ste A, Forest City, NC 28043-7151 | 2019-02-26 |
| 1508372137 | Ryan Michael Spurlin | Physician Assistant | 281 E Main St, Forest City, NC 28043-3126 | 2017-12-19 |
| 1366892333 | Savanna Yount Gary | Physician Assistant | 162 Commercial St, B, Forest City, NC 28043-2849 | 2016-06-20 |
| 1679980783 | Jill Van Otterloo | Physician Assistant | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2014-07-21 |
| 1831407758 | Patrick Sammon | Physician Assistant | 181 Daniel Rd, Forest City, NC 28043-7151 | 2010-09-14 |
| 1922297365 | Angela H Welch | Physician Assistant | 162 Commercial St, Suite B, Forest City, NC 28043-2849 | 2007-10-22 |
| 1083738629 | Paul Layman | Physician Assistant | 181 Daniel Rd, Forest City, NC 28043-7151 | 2007-03-19 |
| Find all providers in FOREST CITY | ||||
| City | FOREST CITY |
| Zip Code | 28043 |
Please comment or provide details below to improve the information on TIMOTHY 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.