DAVID GREEN (NPI# 1386282770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386282770 |
| Entity Type | Individual |
| Full Name | DAVID GREEN |
| Credential | PHARMD |
| Practice Address |
725 Pole Line Rd W Twin Falls ID 83301-5860 |
| Practice Telephone | 2088141655 |
| Practice Fax Number | 2088141917 |
| Mailing Telephone | 2088141655 |
| Mailing Fax Number | 2088141917 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835X0200X |
Pharmacist Specialization: Oncology |
011601 | KY | Pharmacy Service Providers |
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
P5558 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1912484601 | David Green | Physical Therapist | 19998 Saddlebrook Dr, Lindale, TX 75771-6382 | 2018-07-25 |
| 1861846313 | David Green | Family Medicine | 102 Lexington Drive, Suite 100, Madison, MS 39110 | 2016-04-21 |
| 1215290812 | David Christopher Green | Pharmacist | 4720 Cherry Hill Rd, College Park, MD 20740-1330 | 2012-06-19 |
| 1902169758 | David Green | Physical Therapist | 1120 St. Paul St., Ground Level, Baltimore, MD 21202 | 2012-06-18 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1346557246 | David Green | Social Worker | 1225 Marin Avenue, Albany, CA 94706-3289 | 2010-09-13 |
| 1770734642 | David Green Jr. | Acupuncturist | 8198 S Jog Rd Ste 203, Boynton Beach, FL 33472-6903 | 2008-10-08 |
| 1164607974 | David Emerson Green | Internal Medicine | 1670 Clairmont Rd, (rm 12c 193-mail Stop 151p), Atlanta Va Medical Center / Emory University, Decatur, GA 30033 | 2007-12-31 |
| 1982883070 | David Ari Green | Case Manager/Care Coordinator | 150 Frank Ogawa Plaza, Suite 4340, Oakland, CA 94612 | 2007-10-25 |
| Street Address |
725 POLE LINE RD W |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437150745 | Deborah Catherine Burr | Pharmacist | 725 Pole Line Rd W, Twin Falls, ID 83301-5860 | 2005-08-09 |
| 1558720573 | Alisa Rawson | Dietitian, Registered | 725 Pole Line Rd W, Twin Falls, ID 83301-5860 | 2016-02-18 |
| 1518371699 | Nicole L Thomas | Social Worker | 725 Pole Line Rd W, Twin Falls, ID 83301-5800 | 2014-06-17 |
| 1821355330 | Jessica Thibault | Internal Medicine | 725 Pole Line Rd W, Twin Falls, ID 83301 | 2012-04-20 |
| 1326209701 | Jared R Manning | Internal Medicine | 725 Pole Line Rd W, Twin Falls, ID 83301-5800 | 2008-06-19 |
| 1851328504 | Carolyn S Doedyns | Nurse Practitioner | 725 Pole Line Rd W, Twin Falls, ID 83301-5860 | 2006-06-27 |
| 1548206584 | Timothy E Sawyer | Radiology | 725 Pole Line Rd W, Twin Falls, ID 83301-5800 | 2006-06-20 |
| 1679527717 | Phatama Padavanija | Internal Medicine | 725 Pole Line Rd W, Twin Falls, ID 83301-5800 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515863 | Kimberly Schultheiss | Pharmacist | 1118 Nw 16th St Ste D, Fruitland, ID 83619-2272 | 2019-12-18 |
| 1124639174 | Tyler Calvin Downey | Pharmacist | 2325 Coronado St, Idaho Falls, ID 83404-7407 | 2020-08-13 |
| 1205444734 | Allison Reed | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2020-07-21 |
| 1619585247 | Christina Gullion | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2020-07-20 |
| 1194364919 | Sarah Rosemarie Hogue | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2019-12-26 |
| 1710525167 | Leslie Lynn Lamontagne | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2019-12-17 |
| 1487292843 | Lauren Zupsic | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2019-12-17 |
| 1376181743 | Amanda Lorene Wright | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2019-12-17 |
| 1659919199 | Stephanie Matta | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2019-12-16 |
| 1427696806 | Greg A Friedt | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2019-12-16 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on DAVID 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.