JASON GREEN (NPI# 1427167261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427167261 |
| Entity Type | Individual |
| Full Name | JASON GREEN |
| Credential | DO |
| Practice Address |
5721 Ne 27th Ave Fort Lauderdale FL 33308-2703 |
| Mailing Address |
2600 Lake Lucien Dr Ste 180 Maitland FL 32751-7235 |
| Practice Telephone | 9547720416 |
| Practice Fax Number | 9547725716 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4078750518 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | OS8871 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205341757 | Jason D Green | Non-emergency Medical Transport (VAN) | 275 E Vista Ridge Mall Dr, Lewisville, TX 75067-4016 | 2017-12-06 |
| 1841626801 | Jason Warren Green | Podiatrist | 405 Hillandale Rd, Spring Lake, NC 28390-1743 | 2013-09-23 |
| 1154609923 | Jason Wesley Green | Internal Medicine | 1940 Alcoa Hwy Ste 210, Knoxville, TN 37920-2264 | 2011-07-28 |
| 1770896979 | Jason Thomas Green | Counselor | 1401 N Michael Way, #g133, Las Vegas, NV 89108-1491 | 2010-07-16 |
| 1275764284 | Jason Thomas Green | Chiropractor | 7726 Center Blvd Se Ste 230, Snoqualmie, WA 98065-8748 | 2009-08-07 |
| 1316051188 | Jason Robert Green | Physical Therapist | 62 Rockford Rd, Wilmington, DE 19806-1047 | 2006-08-18 |
| 1285267583 | Jason A Green | Nurse Practitioner | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-02-15 |
| 1346891660 | Jason Green | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-09-27 |
| 1528528486 | Jason Lamont Green | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2019-03-25 |
| 1568824332 | Jason Peter Green | Social Worker | 3313 Washington St, Suite # 3, Jamaica Plain, MA 02130-2691 | 2016-03-22 |
| Street Address |
5721 NE 27TH AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124286695 | Leavitt Medical Associates of Florida Inc | Dermatology | 5721 Ne 27th Ave, Fort Lauderdale, FL 33308-2703 | 2008-05-30 |
| 1003003195 | Aventura Dermatology & Cosmetic Center, P.a. | Dermatology | 5721 Ne 27th Ave, Fort Lauderdale, FL 33308-2703 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891352225 | Las Olas Dermatology Inc | Dermatology | 800 E Broward Blvd Ste 507, Fort Lauderdale, FL 33301-2034 | 2019-05-21 |
| 1841556396 | Eric Christopher Wilkerson | Dermatology | 2021 E Commercial Blvd Ste 301, Fort Lauderdale, FL 33308-3754 | 2012-04-10 |
| 1205003068 | Khongruk Wongkittiroch | Dermatology | 2838 E Oakland Park Blvd, Ste 201, Fort Lauderdale, FL 33306-1814 | 2008-05-12 |
| 1316021124 | Peter Leon Babinski | Dermatology | 800 East Broward Blvd, Suite 103, Fort Lauderdale, FL 33301-2020 | 2006-10-25 |
| 1053405415 | Paul J Weber | Dermatology | 5353 North Federal Hwy, Ste 400, Fort Lauderdale, FL 33308 | 2006-10-02 |
| 1043328230 | Willie Forrest Richardson Jr. | Dermatology | 1120 Bayview Dr, Fort Lauderdale, FL 33304-2505 | 2006-08-28 |
| 1568570778 | Murray Dean Smith | Dermatology | 800 E Broward Blvd, Suite 507, Fort Lauderdale, FL 33301-2034 | 2006-08-28 |
| 1548271976 | Gregory L Perez | Dermatology | 4610 N Federal Highway, Fort Lauderdale, FL 33308 | 2006-08-10 |
| 1801827761 | Mark Bernhardt, Md, Pa | Dermatology | 1601 E Broward Blvd, Fort Lauderdale, FL 33301-2160 | 2006-07-06 |
| 1720055585 | Jerome R Obed | Dermatology | 500 Se 15th St, Suite #108, Fort Lauderdale, FL 33316-1952 | 2006-03-01 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.