DR. PHILLIP EDWARD GREEN (NPI# 1639175037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639175037 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP EDWARD GREEN |
| Credential | M.D. |
| Practice Address |
6005 Park Ave Ste 502 Memphis TN 38119-5215 |
| Mailing Address |
Po Box 382067 Germantown TN 38183-2067 |
| Practice Telephone | 9017610800 |
| Practice Fax Number | 9017617738 |
| Mailing Telephone | 9017610800 |
| Mailing Fax Number | 9017617738 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
17865 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3026653 | 05 | |
| MS | 00015638 | 05 | |
| AR | 105352001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578593646 | Phillip Stewart Green | Social Worker | 19710 Ventura Blvd, Suite 203, Woodland Hills, CA 91364-2636 | 2006-07-04 |
| 1124075957 | Phillip M Green | Psychiatry & Neurology | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2006-05-27 |
| 1639697386 | Phillip Edward Green | Nurse Anesthetist, Certified Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-09-01 |
| 1346658929 | Phillip Green | Counselor | 399 E Main St, Columbus, OH 43215-5384 | 2014-07-28 |
| 1538191812 | Phillip A Green | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104 | 2006-07-07 |
| Street Address |
6005 PARK AVE STE 502 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952662199 | Easy Pain, Pllc | Anesthesiology | 6005 Park Ave Ste 502, Memphis, TN 38119-5215 | 2012-06-05 |
| 1780640367 | Eileen A Liu | Anesthesiology | 6005 Park Ave Ste 502, Memphis, TN 38119-5215 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699076414 | Lifelinc Interventional Pllc | Anesthesiology | 1331 Union Ave Ste 927, Memphis, TN 38104-7555 | 2010-11-10 |
| 1477616084 | William Hill Moshier | Anesthesiology | 6257 E Shady Grove Rd, Memphis, TN 38120-2642 | 2006-12-18 |
| 1447241021 | Bradley W. Wargo | Anesthesiology | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2005-11-02 |
| 1508368820 | Kenneth Paul Spart Jr. | Anesthesiology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2018-03-02 |
| 1841662079 | Health One, Pllc | Anesthesiology | 2832 Coleman Rd, Memphis, TN 38128-5815 | 2015-10-27 |
| 1285042028 | Ut Regional One Physicians Inc | Anesthesiology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2014-07-24 |
| 1114345949 | Michael Cody Scarbrough | Anesthesiology | 55 Humphreys Center Dr Ste 200, Memphis, TN 38120 | 2014-03-29 |
| 1750674222 | Matthew Kangas | Anesthesiology | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2011-05-17 |
| 1184940405 | Winfred Bernard Abrams Jr. | Anesthesiology | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2010-04-12 |
| 1477754505 | Gipson Specialty Center, Pllc | Anesthesiology | 6005 Park Ave, Suite 400, Memphis, TN 38119-5202 | 2007-05-29 |
| Find all providers in MEMPHIS | ||||
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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.