DR. MICHAEL L GREEN (NPI# 1649244419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649244419 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL L GREEN |
| Credential | MD |
| Practice Address |
1450 Chapel Street Family Health Center New Haven CT 06511 |
| Mailing Address |
367 Cedar St Esh A-201 New Haven CT 06510-3222 |
| Practice Telephone | 2037894044 |
| Mailing Telephone | 2037853327 |
| Mailing Fax Number | 2037377630 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 034549 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001395492 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636186 | Michael James Green | Specialist/Technologist | 632 Noble Ct, Grand Junction, CO 81504-6987 | 2019-02-20 |
| 1063903995 | Michael Jamiel Green | Non-emergency Medical Transport (VAN) | 3816 Schooner Trl, Chesapeake, VA 23321-3215 | 2018-05-26 |
| 1144735051 | Michael Scott Green | Emergency Medical Technician, Paramedic | 315 Heathrow Dr, Hiram, GA 30141-2341 | 2017-12-14 |
| 1861934176 | Michael Green | Student in an Organized Health Care Education/Training Program | 9 Q St Ne, Washington, DC 20002-2105 | 2016-11-17 |
| 1245789528 | Michael Monroe Green | Counselor | 1048 Jackson Ave, Sharon Hill, PA 19079-1608 | 2016-09-27 |
| 1225429251 | Michael Thomas Green | Specialist/Technologist | 1651 51st St, Sacramento, CA 95819-4503 | 2015-02-12 |
| 1003119611 | Michael T Green | Dentist | 1900 N. Roselle Rd, #401, Schaumburg, IL 60195 | 2010-12-21 |
| 1760794515 | Michael Green | Chiropractor | 5101 Bel Air St, Boise, ID 83705-2774 | 2010-07-09 |
| 1316175292 | Michael Green | Emergency Medicine | Naval Hospital Camp Pendleton 200 Mercy Circle, Oceanside, CA 92055 | 2009-06-30 |
| 1548469562 | Michael S Green | Dentist | 2244 Green Hedges Way, Ste #102, Wesley Chapel, FL 33544-8189 | 2007-07-11 |
| Street Address |
1450 CHAPEL STREET FAMILY HEALTH CENTER |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864026 | Lydia Segui | Physician Assistant | 1450 Chapel Street, New Haven, CT 06511 | 2005-07-08 |
| 1558929307 | Lauren Nicole Bendel | Pharmacist | 1450 Chapel Street, Department of Pharmacy Services, New Haven, CT 06511-4405 | 2019-06-05 |
| 1629574819 | Janette Lopez | Social Worker | 1450 Chapel Street, Childrens Hospital Iop/pop, New Haven, CT 06514 | 2018-04-05 |
| 1063939809 | Deborah Rose Cooke | Physician Assistant | 1450 Chapel Street, New Haven, CT 06511-3786 | 2017-08-23 |
| 1902336977 | Ryan Kenneth Smith | Student in an Organized Health Care Education/Training Program | 1450 Chapel Street, Src Adult Primary Care Clinic, New Haven, CT 06511 | 2017-06-13 |
| 1821528894 | Ria Roberts | Student in an Organized Health Care Education/Training Program | 1450 Chapel Street, Ynhh Primary Care, New Haven, CT 06511 | 2017-06-13 |
| 1245642230 | Yung Ah Lee | Internal Medicine | 1450 Chapel Street, Geriatric Services, New Haven, CT 06511 | 2014-05-23 |
| 1447531579 | Graham Mark Grabowski | Student in an Organized Health Care Education/Training Program | 1450 Chapel Street, Hospital of Saint Raphael, New Haven, CT 06511-4405 | 2011-09-02 |
| 1902184005 | Aarti Gupta | Psychiatry & Neurology | 1450 Chapel Street, Celentano 1, New Haven, CT 06511 | 2011-07-25 |
| 1881863520 | Maria Grazia Szafranski | Nurse Anesthetist, Certified Registered | 1450 Chapel Street, New Haven, CT 06511 | 2008-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| 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 |
|---|---|---|---|---|
| 1538549977 | Bryan Brown | Internal Medicine | 1450 Chapel St Fl 2, Ynhh PCc, St Raphael Campus, New Haven, CT 06511 | 2015-06-01 |
| 1013321041 | Paul Joudrey | Internal Medicine | 789 Howard Ave Bsmt, New Haven, CT 06519-1304 | 2014-06-18 |
| 1386056620 | Christopher Morton | Internal Medicine | 333 Cedar St # St105, Department of Internal Medicine, New Haven, CT 06510-3206 | 2014-05-21 |
| 1619387818 | Amy Steinmetz Korwin | Internal Medicine | Yale New Haven Hospital, Dept of Pulm/cc/sleep Medicine, 20 York Street, New Haven, CT 06510-3220 | 2014-04-28 |
| 1639500895 | Onyekachi Obi | Internal Medicine | 20 York Street, Yale New Haven Hospital, Department of Critical Care Medicine, New Haven, CT 06510-3220 | 2013-12-12 |
| 1114269305 | Ahmad Farooq | Internal Medicine | 159 Willow St, Apt 2, New Haven, CT 06511-2642 | 2013-03-26 |
| 1376885905 | Anika K. Anam | Internal Medicine | 789 Howard Ave Fl 2, New Haven, CT 06519-1304 | 2013-03-21 |
| 1679836365 | Tejas Suresh | Internal Medicine | 333 Cedar Street - Room Www 211, Ynhh - Department of Hematology-oncology, New Haven, CT 06520-8032 | 2012-06-19 |
| 1154683449 | Susanna Alton Curtis | Internal Medicine | 333 Cedar St Rm Www211, Yale School of Medicine, New Haven, CT 06510 | 2012-06-12 |
| 1720349467 | Medical Walk In Care of Westville LLC | Internal Medicine | 1351 Whalley Ave, New Haven, CT 06515-1149 | 2012-05-30 |
| Find all providers in NEW HAVEN | ||||
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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.