RONALD W GREEN JR. (NPI# 1366432601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366432601 |
| Entity Type | Individual |
| Full Name | RONALD W GREEN JR. |
| Credential | PA |
| Practice Address |
703 Ritter Drive Beaver WV 25813 |
| Mailing Address |
Po Box 550 Beaver WV 25813-0550 |
| Practice Telephone | 3042551300 |
| Practice Fax Number | 3042555391 |
| Mailing Telephone | 3042551300 |
| Mailing Fax Number | 3042555391 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 213 | WV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MAMSI | 2103752 | 01 |
| WV | BLUE CROSS | 001720686 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922524321 | Ronald Green | Driver | 5119 Macnamara Dr, Fredericksburg, VA 22407-6563 | 2017-08-17 |
| 1083784748 | Ronald Alan Green | Family Medicine | 5644 Westheimer Rd, Suite 347, Houston, TX 77056-4002 | 2006-11-09 |
| 1053661090 | Ronald D Green | Registered Nurse | 709 Middle Creek Rd, Sevierville, TN 37862-5047 | 2012-09-18 |
| 1023339751 | Ronald Alan Green | Pharmacist | 5633 Baum Blvd, Pittsburgh, PA 15206-3778 | 2010-06-16 |
| 1245308550 | Ronald Lloyd Green | Psychiatry & Neurology | 1 Medical Center Drive, Lebanon, NH 03756-0001 | 2006-12-04 |
| 1003873571 | Ronald S Green | Internal Medicine | 25 Newell Rd, Suite E-36, Bristol, CT 06010-5100 | 2006-04-28 |
| 1245294388 | Ronald Green | Internal Medicine | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2006-04-14 |
| Street Address |
703 RITTER DRIVE |
| City | BEAVER |
| State | WV |
| Zip Code | 25813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073503637 | Prime Health Associates | Specialist | 703 Ritter Drive, Beaver, WV 25813 | 2005-10-25 |
| 1144757451 | Timothy David Hontz | Physician Assistant | 703 Ritter Drive, Beaver, WV 25813 | 2017-05-17 |
| 1083604441 | Connie Green | Registered Nurse | 703 Ritter Drive, Beaver, WV 25813 | 2005-10-26 |
| 1801886478 | Bella N Zinzuwadia | Internal Medicine | 703 Ritter Drive, Beaver, WV 25813 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303689 | Jeanie Rae Hosler | Technician | 1897 Fitzpatrick Rd, Glen Morgan, WV 25813 | 2020-10-14 |
| 1699383448 | Anthony Ray Wills | Technician | 1110 Old Crow Rd, Beaver, WV 25813 | 2020-07-17 |
| 1053858191 | Mary Fox | Physical Therapy Assistant | 100 Grey Stone Drive, Beaver, WV 25813 | 2017-01-27 |
| 1912224676 | Amber Marie Lilly | Occupational Therapist | 200 Greystone Drive, Beaver, WV 25813 | 2010-04-21 |
| 1073735346 | Dominick Harry Mclain | Emergency Medicine | 1600 Industrial Park Road, Beaver, WV 25813 | 2007-05-03 |
| 1457476525 | M I Dababnah Md Inc | Clinic/Center | 856 S. Ritter Dr., Beaver, WV 25813 | 2007-03-20 |
| 1255477212 | Linkous Family Health Care LLC | Nurse Practitioner | 993 Ritter Drive, Beaver, WV 25813 | 2007-01-29 |
| 1033212493 | David Mccormack Dds | Dentist | 701 Ritter Dr, Beaver, WV 25813 | 2006-09-07 |
| 1518060276 | West Virginia Cvs Pharmacy LLC | Pharmacy | Rte 19 21 Ritter Drive, Beaver, WV 25813 | 2006-09-07 |
| 1518073907 | Sherry L Duvall | Nurse Practitioner | 134 Medical Place, Airport Industrial Park, Commerce Drive, Beaver, WV 25813 | 2006-08-21 |
| Find all providers in zip 25813 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447264346 | Nicholas Nmn Tapyrik | Specialist | 1425 3rd St, Beaver, PA 15009-2427 | 2006-07-28 |
| 1144248543 | Paul Michael Kuzma Jr. | Specialist | 628 Market St, Beaver, PA 15009-2923 | 2006-07-17 |
| 1588697338 | Alejandro R. Gonzalez | Specialist | 1 Peartree Way, Beaver, PA 15009-1954 | 2006-07-07 |
| 1235170192 | Mousa I Dababnah | Specialist | 856 Ritter Dr, Beaver, WV 25813-9513 | 2006-06-09 |
| 1346208584 | Peter Eugene Volpe | Specialist | 1417 3rd St, Beaver, PA 15009-2427 | 2006-05-03 |
| 1750348637 | Paul M Hoover | Specialist | 647 Third Street, Beaver, PA 15009 | 2006-04-26 |
| 1518923150 | Michael L Lustbader | Specialist | 701 Fifth Street, Beaver, PA 15009 | 2006-04-22 |
| 1073503637 | Prime Health Associates | Specialist | 703 Ritter Drive, Beaver, WV 25813 | 2005-10-25 |
| 1215372933 | Heritage Valley Medical Group, Inc | Specialist | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2013-05-08 |
| 1053615120 | Valley Sleep Solutions | Specialist | 5060 Tuscarawas Rd, Beaver, PA 15009-1006 | 2011-01-05 |
| Find all providers in BEAVER | ||||
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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.