DR. JOHN CHARLES GREEN (NPI# 1528015591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528015591 |
| Entity Type | Individual |
| Full Name | DR. JOHN CHARLES GREEN |
| Credential | D.O. |
| Practice Address |
1601 S Queen St York PA 17403-4630 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178516110 |
| Practice Fax Number | 7178511999 |
| Mailing Telephone | 7178516110 |
| Mailing Fax Number | 7178511999 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
34 00 5210 | OH | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | OS 005621 L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CARESOURCE MEDICAID | 310917085084 | 01 |
| OH | UNISON MEDICAID | 000000181658 | 01 |
| PA | 001007392 | 05 | |
| OH | MOLINA MEDICAID | 2055449 | 01 |
| RR MEDICARE | P00284946 | 01 | |
| NPI | 1528015591 | 01 | |
| OH | 0125294000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497065551 | John Armstrong Green | Dentist | 5029 S 1200 E, Ogden, UT 84403-4297 | 2010-10-07 |
| 1558513218 | John Eddie Green | Dentist | 38 Pembroke Ln, San Antonio, TX 78240-2594 | 2008-10-14 |
| 1750531414 | John Green II | Dentist | Us Army Dentac Bavaria, Unit 28038, Apo, AE 09112 | 2008-09-30 |
| 1316133416 | John Green | Registered Nurse | 6724 Castle Creek Dr, Fort Worth, TX 76132-3708 | 2007-09-21 |
| 1386766202 | John W Green | Pharmacist | 1221 Rushridge Rd, Jefferson, IA 50129-2306 | 2007-04-03 |
| 1952425605 | John Michael Green Jr. | Dentist | 4608 W 103rd St, Oak Lawn, IL 60453-4719 | 2007-03-19 |
| 1104958495 | John M Green | Chiropractor | 1115 Belcher Lane, Hartsville, TN 37074-3859 | 2007-03-12 |
| 1649318437 | John Paul Green | Social Worker | 54 Willshire Dr, Williamstown, MA 01267-2927 | 2007-02-02 |
| 1114072444 | John N Green | Internal Medicine | 90 Us Highway 22 W, Springfield, NJ 07081-3110 | 2007-01-25 |
| 1114082559 | John W. Green | Family Medicine | 2562 Kinard St, Newberry, SC 29108-2910 | 2006-12-26 |
| Street Address |
1601 S QUEEN ST |
| City | YORK |
| State | PA |
| Zip Code | 17403-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952386831 | Dawn Elaine Zumbrum | Nurse Practitioner | 1601 S Queen St, York, PA 17403-4630 | 2005-12-13 |
| 1518382886 | Wellspan Medical Group | Surgery | 1601 S Queen St, York, PA 17403-4630 | 2014-02-24 |
| 1124388756 | Benjamin W Vabi | Surgery | 1601 S Queen St, York, PA 17403 | 2012-05-16 |
| 1104009869 | Lisa Fouts Roupas | Nurse Practitioner | 1601 S Queen St, York, PA 17403-4630 | 2007-12-17 |
| 1356535892 | Felicia Iola Batten | Nurse Practitioner | 1601 S Queen St, York, PA 17403-4630 | 2007-08-28 |
| 1811106784 | Douglas A Schmitt | Dentist | 1601 S Queen St, York, PA 17403 | 2007-05-21 |
| 1366503724 | Jocelyn C Ehren | Nurse Practitioner | 1601 S Queen St, York, PA 17403-4630 | 2006-12-12 |
| 1558468777 | Wellspan Medical Group | Surgery | 1601 S Queen St, York, PA 17403-4630 | 2006-09-20 |
| 1487662342 | Samuel Simon Laucks II | Surgery | 1601 S Queen St, York, PA 17403-4630 | 2006-08-04 |
| 1487662433 | Paul G Sipe | Surgery | 1601 S Queen St, York, PA 17403-4630 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113286 | Maria Frances Defelice | Social Worker | 1902 Woodland Rd, York, PA 17403 | 2020-01-11 |
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1306355771 | Emily Good | Occupational Therapist | 34 N Albemarle St, York, PA 17403 | 2017-09-28 |
| 1275054983 | Lindsay Sentz | Nurse Anesthetist, Certified Registered | 110 Pine Grove Commons, York, PA 17403 | 2017-07-03 |
| 1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1346616505 | Joseph A Tolomeo | Psychologist | 807 S. George St, York, PA 17403 | 2015-08-11 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Find all providers in zip 17403 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366962557 | Pinnacle Health Regional Physicians | Surgery | 1600 6th Ave Ste 105, York, PA 17403-2626 | 2017-06-20 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1396881660 | York Surgical Associates Inc | Surgery | 1030 Plymouth Road, York, PA 17402-3862 | 2007-01-30 |
| 1982619276 | Daniel Scott Henriksen | Surgery | 1601 South Queen Street, York, PA 17403 | 2006-07-29 |
| 1033144076 | Lawrence Peter Fielding | Surgery | 1185 Wyndsong Dr, York, PA 17403-4491 | 2006-07-11 |
| 1396705927 | Wound Specialists, LLC | Surgery | 2300 Pleasant Valley Rd Bldg 3, York, PA 17402-9627 | 2006-03-27 |
| 1730149535 | Shawn Michael Terry | Surgery | 300 Pine Grove Cmns, York, PA 17403-5176 | 2006-03-24 |
| 1467433284 | David A Winand | Surgery | 191 Leaders Heights Rd, York, PA 17402-4714 | 2005-11-09 |
| 1730172990 | Nikhilesh Agarwal | Surgery | 15 Wyntre Brooke Drive, Suite # 1, York, PA 17403-4509 | 2005-08-23 |
| 1760480693 | Jeffrey P. Thurlow | Surgery | 16 Hospital Dr, Suite B, York, ME 03909-1011 | 2005-07-13 |
| Find all providers in YORK | ||||
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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.