DR. GACHAVIS M GREEN (NPI# 1376848077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376848077 |
| Entity Type | Individual |
| Full Name | DR. GACHAVIS M GREEN |
| Credential | D.P.M. |
| Practice Address |
34 Franklin Rd Hattiesburg MS 39402-1318 |
| Mailing Address |
Po Box 16235 Hattiesburg MS 39404-6235 |
| Practice Telephone | 6012680400 |
| Practice Fax Number | 6012643150 |
| Mailing Telephone | 6012680400 |
| Mailing Fax Number | 6012643150 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 5901002375 | MI | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
80220 | MS | Podiatric Medicine & Surgery Service Providers |
| Street Address |
34 FRANKLIN RD |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215912928 | Michael Sean Zaleski | Podiatrist | 34 Franklin Rd, Hattiesburg, MS 39402-1318 | 2005-12-14 |
| 1861929648 | Willem Sorgeloos | Podiatrist | 34 Franklin Rd, Hattiesburg, MS 39402-1318 | 2017-05-11 |
| 1790876506 | Dr. Michael S. Zaleski | Podiatrist | 34 Franklin Rd, Hattiesburg, MS 39402-1318 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913842 | Premier Podiatry LLC | Podiatrist | 5434 River Thames Rd, Jackson, MS 39211-4133 | 2020-05-12 |
| 1396085015 | Marion Shaun Lund | Podiatrist | 1194 S 18th Street Ext, Oxford, MS 38655-5378 | 2013-02-15 |
| 1942525738 | Jeffery John Vanyperen Jr. | Podiatrist | 1107 Earl Frye Blvd Ste 1, Amory, MS 38821-5519 | 2010-04-05 |
| 1982939773 | Frank Eldridge Evans | Podiatrist | 2512 25th Ave, Hwy 49 Suite 3, Gulfport, MS 39501-4814 | 2009-10-12 |
| 1942463567 | Stanitia W. Davis | Podiatrist | 953 North St, Suite A, Jackson, MS 39202-2615 | 2008-07-03 |
| 1275732596 | Bernard J Meadows Jr. | Podiatrist | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 | 2007-07-17 |
| 1194805457 | James Terence Phelan | Podiatrist | 587 Highway 51 Ste T2, Ridgeland, MS 39157-2506 | 2006-10-17 |
| 1720171002 | Joann Orphanos | Podiatrist | 15095 Dedeaux Road, Gulfport, MS 39503-3284 | 2006-10-01 |
| 1912273814 | Davis Podiatry, LLC | Podiatrist | 128 Poindexter St, Jackson, MS 39203-3048 | 2012-03-26 |
| 1114201423 | Robert Crockett Enterprise LLC | Podiatrist | 2310 4th St, Suite A, Meridian, MS 39301-5819 | 2011-10-05 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on DR. GACHAVIS M 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.