DANIEL GREEN MD (NPI# 1598834087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598834087 |
| Entity Type | Organization |
| Organization Name | DANIEL GREEN MD |
| Other Organization Name | LAKE COUNTY INTERNAL MEDICINE CLINIC |
| Practice Address |
305 E Tickle St Dyersburg TN 38024-3117 |
| Mailing Address |
1804 Highway 45 Byp Suite 604 Jackson TN 38305-4436 |
| Practice Telephone | 7312852324 |
| Practice Fax Number | 7316608739 |
| Mailing Telephone | 7316608759 |
| Mailing Fax Number | 7316608739 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DANIEL P GREEN (OWNER DIRECTOR) |
| Authorized Official Telephone | 7312852324 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5993 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lake County Internal Medicine Clinic | Doing Business As Name - Organization |
| Street Address |
305 E TICKLE ST |
| City | DYERSBURG |
| State | TN |
| Zip Code | 38024-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568499499 | Womens Clinic of Dyersburg, Pllc | Obstetrics & Gynecology | 305 E Tickle St, Suite B, Dyersburg, TN 38024-3117 | 2006-06-27 |
| 1003985581 | Daniel P Green | Internal Medicine | 305 E Tickle St, Dyersburg, TN 38024-3117 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
| 1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
| 1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
| 1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
| 1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
| 1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
| 1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
| 1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
| 1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
| 1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
| Find all providers in zip 38024 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093965402 | Sujit Pradhan Nagarkoti | Internal Medicine | 2335 Federal Dr, D 14, Dyersburg, TN 38024-1944 | 2008-09-22 |
| 1104810704 | William Neil Mckee | Internal Medicine | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2005-09-09 |
| 1457352577 | Ravinder K Machra | Internal Medicine | 1067 Vendall Rd Ste A, Dyersburg, TN 38024 | 2005-08-10 |
| 1184625634 | First Choice Medical Care Pllc | Internal Medicine | 1950 Cook St, Ste D, Dyersburg, TN 38024 | 2005-08-09 |
| 1609871169 | Baker Lee Stewart | Internal Medicine | 503 E Tickle St, Dyersburg, TN 38024-3165 | 2005-06-20 |
| 1689677296 | Rauf Baba | Internal Medicine | 1716 Parr Ave Ste F, Dyersburg, TN 38024 | 2005-05-27 |
| 1295223279 | Wt Medical Associates | Internal Medicine | 1629 Woodlawn Ave, Dyersburg, TN 38024 | 2018-04-25 |
| 1457762304 | Anna Jiyoung Lee-mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-14 |
| 1750717195 | Forked Deer River Inpatient Services, Pllc | Internal Medicine | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2013-09-17 |
| 1720365299 | Wajeed Mohammed Masood | Internal Medicine | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2011-11-10 |
| Find all providers in DYERSBURG | ||||
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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.