MR. WALTER RUSSELL GREEN (NPI# 1447412598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447412598 |
Entity Type | Individual |
Full Name | MR. WALTER RUSSELL GREEN |
Practice Address |
5131 Roosevelt Ave San Antonio TX 78214-3219 |
Practice Telephone | 2105265213 |
Practice Fax Number | 2106261191 |
Mailing Telephone | 2105265213 |
Mailing Fax Number | 2106261191 |
Enumeration Date | 2008-06-30 |
Last Update Date | 2008-06-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144836404 | Walter J. Green | Counselor | 1120 Mossy Knoll Dr, Cordova, TN 38018-6671 | 2020-09-21 |
1376971317 | Walter Craig Green Jr. | Case Manager/Care Coordinator | 259 Bill France Blvd. Suite 200, Daytona Beach, FL 32114 | 2013-10-30 |
1306051073 | Walter Howard Green | Internal Medicine | 16 Fort River Rd, Verona, VA 24482-0951 | 2007-05-14 |
1962591487 | Walter Franklin Green IIi | General Practice | 51 North Liberty Street, Harrisburg, VA 22802-3740 | 2006-10-12 |
1588106504 | Walter W Green IIi | Chiropractor | 7204 Main St, Ste 200, The Colony, TX 75056 | 2016-11-08 |
1922461805 | Walter Green | Student in an Organized Health Care Education/Training Program | 464 Congress Ave, Suite #260, New Haven, CT 06519-1361 | 2016-03-30 |
1558751487 | Walter Green IIi | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2015-01-30 |
1356357982 | Walter L Green | Emergency Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2006-08-01 |
Street Address |
5131 ROOSEVELT AVE |
City | SAN ANTONIO |
State | TX |
Zip Code | 78214-3219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629384110 | Total Mobility Services, Inc. | Durable Medical Equipment & Medical Supplies | 5131 Roosevelt Ave, San Antonio, TX 78214-3219 | 2010-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104380245 | Mission Event Senior Center LLC | Clinic/Center | 5614 South Flores Street, San Antonio, TX 78214 | 2019-01-23 |
1396239497 | Allen Ray Williams II | Chiropractor | 6000 Farm To Market 3009, Ste 200, San Antonio, TX 78214 | 2018-06-21 |
1326482027 | Rolando Gonzalez | Specialist/Technologist, Other | 1131 91st St, San Antonio, TX 78214 | 2013-04-24 |
1235425463 | Roberto Issac Cortez | Dentist | 3454 Roosevelt Avenue, San Antonio, TX 78214 | 2011-06-27 |
1104110501 | Mission Plaza Dental Pllc | Dentist | 3454 Roosevelt Ave., San Antonio, TX 78214 | 2011-06-02 |
1982904561 | Amir Ahmed | Pharmacist | 119 Huizar Street, Cyctic Fibrosis Services, San Antonio, TX 78214 | 2010-10-28 |
1962734160 | J. Andrew Jackson, D.d.s. Ltd., LLP | Dentist | 600 Division, Suite E., San Antonio, TX 78214 | 2010-02-12 |
1881805653 | Bruce Lee Vetters | Dentist | 6619 S Flores, San Antonio, TX 78214 | 2007-05-24 |
1053403147 | John D Cochran Dds Inc | Dentist | 5713 South Flores, San Antonio, TX 78214 | 2006-09-28 |
1306945415 | Idalia Ivanna Benavides | Specialist | 161 Tommins Ave., San Antonio, TX 78214 | 2006-09-22 |
Find all providers in zip 78214 |
Taxonomy Code | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639794621 | Allen E Navey Dds Pa | Durable Medical Equipment & Medical Supplies | 405 W Gramercy Pl, San Antonio, TX 78212-2827 | 2020-06-15 |
1245875574 | Perry Dental Health, Pa | Durable Medical Equipment & Medical Supplies | 15900 La Cantera Pkwy Ste 26245, San Antonio, TX 78256-2481 | 2019-11-11 |
1194374801 | Joseph S Boyle Dds Pa | Durable Medical Equipment & Medical Supplies | 7718 Louis Pasteur Ct Ste 101, San Antonio, TX 78229-3654 | 2019-09-05 |
1487135364 | Implant Concierge, LLC | Durable Medical Equipment & Medical Supplies | 11503 Nw Military Hwy Ste 212, San Antonio, TX 78231-1895 | 2018-08-28 |
1801307228 | Km Remodeling LLC | Durable Medical Equipment & Medical Supplies | 7915 Mainland Dr Ste 200, San Antonio, TX 78250-5160 | 2017-10-12 |
1962922468 | Alamo Assistive Technology | Durable Medical Equipment & Medical Supplies | 14040 Nacogdoches Rd Ste 107, San Antonio, TX 78247-2068 | 2017-06-26 |
1871947382 | Hurricane Seating & Mobility, LLC | Durable Medical Equipment & Medical Supplies | 9510 Tioga Dr Ste 103, San Antonio, TX 78230 | 2016-04-20 |
1295109122 | Mobility Express Plus LLC | Durable Medical Equipment & Medical Supplies | 10550 Sentinel St, San Antonio, TX 78217-3822 | 2015-11-16 |
1497199053 | Armada Medical Supplier, LLC | Durable Medical Equipment & Medical Supplies | 7342 Reindeer Trl, San Antonio, TX 78238-1275 | 2013-04-24 |
1871853580 | Cg Healthcare Products LLP | Durable Medical Equipment & Medical Supplies | 8181 Tezel Rd, Sye 102-30, San Antonio, TX 78250-3034 | 2012-05-29 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78214 |
Please comment or provide details below to improve the information on MR. WALTER RUSSELL 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.