DR. KIMBERLY MICHELLE GREEN


Address: 1718 E 4th St Ste 807, Charlotte, NC 28204-3280
Phone: 7043163297

DR. KIMBERLY MICHELLE GREEN (NPI# 1447424197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447424197
Entity Type Individual
Full Name DR. KIMBERLY MICHELLE GREEN
Credential D.O.
Practice Address 1718 E 4th St Ste 807
Charlotte
NC 28204-3280
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043163297
Practice Fax Number 7043163298
Enumeration Date 2008-04-14
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 53728 CO Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
2020-00647 NC Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
DO41052 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 410521 05

Other Providers KIMBERLY GREEN

NPI Name Taxonomy Address Enumeration
1568060531 Kimberly Green Technician 1793 Trap Springs Rd, Grafton, WV 26354-4520 2020-10-13
1851959902 Kimberly Marie Green Registered Nurse 1132 Long Mdw, Salado, TX 76571-5453 2019-06-04
1770091373 Kimberly Green Speech-Language Pathologist 3228 Mason Dr, Plano, TX 75025-4536 2018-01-17
1750822607 Kimberly Green Counselor 238 Nicholson St Ne, Washington, DC 20011-2510 2017-03-12
1871990317 Kimberly Green Speech-Language Pathologist 656 Players Crossing Way, Bowling Green, KY 42104-5534 2014-11-27
1902187909 Kimberly Green Registered Nurse 11838 193rd St, Saint Albans, NY 11412-3339 2011-09-02
1891083887 Kimberly Dainelle Green Contractor 761 Poplar St, Suite # 2 I, Macon, GA 31201-2082 2011-07-12
1720174873 Kimberly J Green General Practice 1090 Cambridge Sq, Suite A, Alpharetta, GA 30009-1875 2006-10-05
1881702280 Kimberly Cannon Green Occupational Therapist 102 West Sencea St, Suite 206, Manlius, NY 13104 2006-08-26
1275514077 Kimberly D. Green Marriage & Family Therapist 3309 56th St Nw, Suite 101, Gig Harbor, WA 98335-8572 2005-11-09

Office Location

Street Address 1718 E 4TH ST STE 807
City CHARLOTTE
State NC
Zip Code 28204-3280

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851953285 Roseann Marie Barrera Nurse Practitioner 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 2019-07-06
1043877574 Brittany Ann Kober Nurse Practitioner 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 2019-05-21
1518520238 Mallory Brooke Johnson Nurse Practitioner 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 2019-04-18
1821597725 Angeliki Evangelia Raptis Nurse Practitioner 1718 E 4th St Ste 807, Charlotte, NC 28204 2018-02-06
1942729439 Novant Medical Group, Inc Internal Medicine 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 2017-09-15
1497192728 Jenny Park Nurse Practitioner 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 2013-05-28
1437499506 Mary E Dilorenzo Nurse Practitioner 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 2013-02-26
1366754954 Alan P. Zausner Skarbnik Internal Medicine 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 2010-07-12
1679806566 Mary Catherine Meadows Physician Assistant 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 2009-09-10
1386804409 Omotayo Olusola Fasan Internal Medicine 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 2008-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285263582 Precise Home Care Service LLC In Home Supportive Care 1935 Baxter Street, Unit 101, Charlotte, NC 28204 2020-04-07
1285276253 Shannon Miller Counselor 1432 E Seventh Street, Charlotte, NC 28204 2019-10-11
1194282202 Madison Joann Mcgarrigle Behavior Technician 1401 East 7th Street, Charlotte, NC 28204 2019-02-25
1255802674 Stacey D. Alston, Dds, Pa Dentist 1020 E. 10th St., Suite 1, Charlotte, NC 28204 2018-12-11
1972082097 Kim Webb Talbert Nurse Practitioner Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 2018-08-09
1164910535 Jesse Elijah Roberts Counselor 1801 E 5th Street, #208, Charlotte, NC 28204 2018-05-01
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1225480551 Kathleen Quintana Bradley Physician Assistant 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 2016-07-11
1184049777 Della Franklin Speech-Language Pathologist 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 2014-02-19
1225459845 Healing Arts Medical, Pa Family Medicine 335 N. Caswell Rd., Charlotte, NC 28204 2013-12-27
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851909816 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 2020-07-16
1346858487 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 2020-07-15
1295343341 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 2020-07-15
1881212215 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 2020-07-13
1720606486 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 2020-07-09
1720606445 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 2020-07-09
1235757352 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 2020-07-07
1174989479 The Presbyterian Hospital Internal Medicine 14135 Ballantyne Corporate Pl Ste 200&160, Charlotte, NC 28277-3383 2016-01-04
1013350727 Aileen Deng Internal Medicine 8401 University Exec Park Dr Ste 130, Charlotte, NC 28262-4358 2013-04-11
1578873808 Carolinas Physicians Network Inc Internal Medicine 10826 Mallard Creek Rd, Suite 100, Charlotte, NC 28262-7782 2010-10-20
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28204

Improve Information

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Dataset Information

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.

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