DR. STEPHEN LLOYD GREEN (NPI# 1477679496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477679496 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN LLOYD GREEN |
| Credential | M.D. |
| Practice Address |
2131 S Bonito Way Meridian ID 83642-1659 |
| Mailing Address |
26 Town Center Way # 704 Hampton VA 23666-1999 |
| Practice Telephone | 2084899500 |
| Mailing Telephone | 7577718049 |
| Mailing Fax Number | 7578511285 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
0101028335 | VA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | M-10266 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | IDAHO LIC | M-10266 | 01 |
| VA | 006069479 | 05 | |
| VA | NPI CORPORATION | 1013986579 | 01 |
| VA | NPI INDIVIDUAL | 1477679496 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255976551 | Stephen Robert Green | Specialist/Technologist | 1515 Lee Rd, Guilford, VT 05301-8520 | 2019-11-10 |
| 1285970830 | Stephen Tyler Green | Student in an Organized Health Care Education/Training Program | 993 Muirfield Dr, Marietta, GA 30068-2643 | 2012-12-28 |
| 1780742528 | Stephen R. Green | Internal Medicine | 1401 East Van Buren Avenue, Mcalester, OK 74501 | 2006-12-05 |
| 1265456453 | Stephen C Green | Dentist | 37 North Ave, Norwalk, CT 06851 | 2006-07-27 |
| 1770508145 | Stephen Kelly Green | Chiropractor | 4200 Wade Green Rd Nw, Suite 27, Kennesaw, GA 30144-1237 | 2006-07-13 |
| 1215901475 | Stephen G Green | Chiropractor | 11 Webster Avenue, Suite 3, Goshen, NY 10924 | 2006-02-15 |
| 1881679595 | Stephen Mark Green | Nurse Anesthetist, Certified Registered | 1376 Acworth Rd, Charlestown, NH 03603-4650 | 2005-12-14 |
| 1740289503 | Stephen Alan Green | Psychiatry & Neurology | 5410 Connecticut Ave Nw Ste 109, Washington, DC 20015-2819 | 2005-07-14 |
| 1245774397 | Stephen Green | Physician Assistant | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-12-08 |
| 1679987309 | Stephen C. Green | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-06-20 |
| Street Address |
2131 S BONITO WAY |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013986579 | Hampton Roads Medical Specialists PC | Internal Medicine | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2006-03-16 |
| 1003397878 | Hbs of Meridian, LLC | Psychiatric Hospital | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2018-08-28 |
| 1578915898 | Rc Dobrowolski PC | Internal Medicine | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2016-07-11 |
| 1487066320 | Matthew Johansen | Counselor | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2014-05-27 |
| 1932523164 | Owens Medical Pllc | Internal Medicine | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2014-02-07 |
| 1447502323 | Darian Robbins | Occupational Therapy Assistant | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2012-10-03 |
| 1952652083 | Elizabeth Rebecca Stuhr | Physical Therapist | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2012-09-28 |
| 1942551114 | Conrad William Estrem | Speech-Language Pathologist | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2012-09-27 |
| 1427293521 | Boise Intensive Care Hospital Inc | Hospitalist | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2008-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639629777 | Hospitalist Services of Meridian Pa | Hospitalist | 2124 14th St, Meridian, MS 39301-4040 | 2016-10-13 |
| 1285014118 | Lyon Medical LLC | Hospitalist | 3080 E Gentry Way Ste 100, Meridian, ID 83642-3060 | 2015-06-05 |
| 1164656575 | Rush Physician Services LLC | Hospitalist | 1314 19th Ave, Meridian, MS 39301-4116 | 2009-05-13 |
| 1427293521 | Boise Intensive Care Hospital Inc | Hospitalist | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2008-12-04 |
| 1689704744 | Medical Foundation, Inc. | Hospitalist | 1314 19th Ave, Meridian, MS 39301-4116 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197036 | Megan Lenkersdorfer | Hospitalist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2019-11-06 |
| 1790343580 | Snake River Hospitalists, LLC | Hospitalist | 2325 Coronado St, Idaho Falls, ID 83404-7407 | 2019-06-05 |
| 1225564925 | Bryce L Arnold | Hospitalist | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2017-05-02 |
| 1740715507 | Santibanez Aguirre PC | Hospitalist | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2017-04-28 |
| 1528593381 | Lauren Franklin | Hospitalist | 1055 N Curtis Rd, Boise, ID 83706 | 2017-04-28 |
| 1114389665 | Farah Esther Vega | Hospitalist | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2016-03-23 |
| 1790150514 | Pocatello Inpatient Services Pllc | Hospitalist | 777 Hospital Way, Pocatello, ID 83201-5175 | 2015-12-04 |
| 1902285257 | Kanan Silvas | Hospitalist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2015-05-20 |
| 1780078626 | Hinah Gul Parker | Hospitalist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2015-03-27 |
| 1396164604 | Laurel Hascall-dove | Hospitalist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2014-04-15 |
| Find all providers with the same taxonomy | ||||
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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.