MR. MICHAEL GREENE (NPI# 1568867117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568867117 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL GREENE |
| Credential | CMT, CMMP |
| Practice Address |
336 W Bedford Ave Suite 108 Fresno CA 93711-6185 |
| Mailing Address |
485 W Nees Ave Apt 143 Fresno CA 93711-6864 |
| Practice Telephone | 5594766491 |
| Mailing Telephone | 5594766491 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 61093 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841764289 | Michael Cayman Greene | Specialist/Technologist | 1125 Monte Vista Ave Apt 4, Las Cruces, NM 88001-5693 | 2019-01-18 |
| 1073946026 | Michael David Greene | General Practice | 501 Whipporwill Dr, Morehead, KY 40351-8869 | 2013-08-13 |
| 1083755243 | Michael Shane Greene | Pharmacist | 20381 Arch St, Little Rock, AR 72206-9218 | 2007-02-09 |
| 1205941226 | Michael Laxton Greene Sr. | Dentist | 711 Blue Hills Ave, Hartford, CT 06112 | 2006-08-20 |
| 1629012711 | Michael Smith Greene | Chiropractor | 529 Se 2nd St, Suite C, Lees Summit, MO 64063-2646 | 2006-06-16 |
| 1770521023 | Michael Greene | Radiology | 145 4th Ave Apt 14g, New York, NY 10003-4922 | 2006-06-02 |
| 1326496746 | Michael David Greene II | Emergency Medicine | 450 E Romie Ln, Salinas, CA 93901-4029 | 2016-05-26 |
| 1265892103 | Michael Joel Greene | Chiropractor | 490 Klutey Park Plaza Dr, Henderson, KY 42420-3348 | 2016-03-04 |
| 1912295502 | Michael Aaron Greene | Internal Medicine | 33155 Annapolis St, Wayne, MI 48184-2405 | 2011-07-15 |
| 1962716332 | Michael Greene | Social Worker | 24302 Northern Blvd, Little Neck, NY 11362-1150 | 2010-07-28 |
| Street Address |
336 W BEDFORD AVE SUITE 108 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-6185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073900627 | Fresno Kinetic Bodyworks | Massage Therapist | 336 W Bedford Ave, Suite 108, Fresno, CA 93711-6185 | 2015-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376186072 | Yegue O Badigue | Massage Therapist | 2817 E Spruce Ave Apt 136, Fresno, CA 93720-0373 | 2019-10-25 |
| 1194216093 | Annalisa Olivas | Massage Therapist | 1525 E Greenwich Ave, Fresno, CA 93720 | 2018-05-25 |
| 1205238292 | Daniel J Williams | Massage Therapist | 7676 N Fresno St. Sp. 6, Fresno, CA 93720 | 2014-09-22 |
| 1982037263 | Trish L Pruitt | Massage Therapist | 1648 E Herndon Ave Ste 106, Fresno, CA 93720-3381 | 2013-08-09 |
| 1205193992 | Cathy Abbott | Massage Therapist | 4733 W Spruce Ave Ste 106, Fresno, CA 93722-3576 | 2012-04-18 |
| 1619266871 | Pakou Vue | Massage Therapist | 3750 N 1st St, Fresno, CA 93726-5601 | 2011-03-28 |
| 1013231158 | Victor Martinez-breners | Massage Therapist | 401 W Fallbrook Ave, Ste 105, Fresno, CA 93711-5833 | 2010-03-18 |
| 1740419654 | Lisa Andrea Anderson | Massage Therapist | 1901 Fulton St., #110, Fresno, CA 93721 | 2009-07-13 |
| 1619111077 | Rebecca P Calleja | Massage Therapist | 7948 N Maple Ave Ste 110, Fresno, CA 93720-0288 | 2009-04-28 |
| 1780853960 | Kendra Tremayne Brown | Massage Therapist | 1110 N Magnolia Dale Dr, Fresno, TX 77545-8671 | 2008-02-21 |
| Find all providers in FRESNO | ||||
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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.