MIRIAM L GREENE (NPI# 1518485705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518485705 |
Entity Type | Individual |
Full Name | MIRIAM L GREENE |
Practice Address |
111 19th Ave Moline IL 61265-3754 |
Mailing Address |
111 19th Ave Moline IL 61265 |
Practice Telephone | (309) 757-0300 |
Practice Fax Number | 3097570400 |
Mailing Telephone | 3097570300 |
Mailing Fax Number | 3097570400 |
Enumeration Date | 2017-09-07 |
Last Update Date | 2017-09-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
33465 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679618904 | Miriam Greene | Obstetrics & Gynecology | 340 E 34th St, Suite 1cd, New York, NY 10016-4978 | 2007-02-21 |
Street Address |
111 19TH AVE |
City | MOLINE |
State | IL |
Zip Code | 61265-3754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639170285 | River Bend Christian Counseling Inc | Clinic/Center | 111 19th Ave, Moline, IL 61265 | 2005-08-04 |
1427398734 | Ronald G. Christensen | Counselor | 111 19th Ave, Moline, IL 61265-3754 | 2013-02-22 |
1568645414 | Janice Elaine Willis | Counselor | 111 19th Ave, Moline, IL 61265-3754 | 2007-12-14 |
1932252178 | John C Heath | Counselor | 111 19th Ave, River Bend Christian Counseling, Moline, IL 61265 | 2007-01-19 |
1710988191 | Al R Doyle | Psychiatry & Neurology | 111 19th Ave, Moline, IL 61265-3754 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
Find all providers in zip 61265 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346719390 | William N Iavarone | Counselor | 3601 69th Ave, Moline, IL 61265-9798 | 2018-11-20 |
1558814160 | Healing Alliance LLC | Counselor | 1718 8th Ave, Moline, IL 61265-2118 | 2016-07-31 |
1932311859 | Child & Family Psychology Center PC | Counselor | 3919 16th Street, Moline, IL 61265 | 2007-05-04 |
1932326816 | Jennifer Lynn Piester | Counselor | 4602 3rd St, Moline, IL 61265-6106 | 2007-04-20 |
1326264060 | Benton Kurt Johnson II | Counselor | 2424 40th Ave, Suite #5, Moline, IL 61265-7215 | 2007-04-18 |
1427529072 | Kendra Renner | Counselor | 4600 3rd St, Moline, IL 61265-6106 | 2018-12-07 |
1174008122 | Yolanda Crouch | Counselor | 2424 40th Ave, Moline, IL 61265-7215 | 2018-09-26 |
1588158240 | Rodney Clemente Smith | Counselor | 4600 3rd St, Moline, IL 61265-6106 | 2018-06-17 |
1134638380 | Hassan Baig | Counselor | 4600 3rd St, Moline, IL 61265-6106 | 2017-09-20 |
1437672847 | Brittney Grace Byrnes | Counselor | 2326 16th St, Moline, IL 61265-4824 | 2017-07-18 |
Find all providers in MOLINE |
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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.