MR. PAUL GREEN (NPI# 1699841122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699841122 |
| Entity Type | Individual |
| Full Name | MR. PAUL GREEN |
| Credential | PA-C |
| Practice Address |
2255 Lewisville Clemmons Rd Suite E Clemmons NC 27012-7463 |
| Mailing Address |
2255 Lewisville Clemmons Rd Ste E Clemmons NC 27012-7460 |
| Practice Telephone | 3367660505 |
| Practice Fax Number | 3367660153 |
| Mailing Telephone | 3367660505 |
| Mailing Fax Number | 3367660153 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2016-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001000123 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912122417 | Paul S Green | Chiropractor | 1215 So Fort Apache Road, Suite 140, Las Vegas, NV 89117 | 2007-04-17 |
| 1699874271 | Paul Keith Green | Dentist | 3445 Pine Mill Road, Paris, TX 75460 | 2006-09-21 |
| 1013535582 | Paul Michael Green | Nurse Practitioner | 1801 N Senate Blvd Ste 230, Indianapolis, IN 46202-1252 | 2020-07-10 |
| 1609025584 | Paul Thomas Green | Pharmacist | 515 Main St, Olean, NY 14760-1513 | 2008-09-16 |
| 1801876966 | Paul William Green | Family Medicine | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2006-01-17 |
| Street Address |
2255 LEWISVILLE CLEMMONS RD SUITE E |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012-7463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235102211 | Glen Edward Combs | Physician Assistant | 2255 Lewisville Clemmons Rd, Clemmons, NC 27012-7463 | 2006-02-09 |
| 1346316866 | Judi A. Burkhart | Counselor | 2255 Lewisville Clemmons Rd, Clemmons, NC 27012-7463 | 2006-11-27 |
| 1114093648 | Robert Denig | Counselor | 2255 Lewisville Clemmons Rd, Clemmons, NC 27012-7463 | 2006-11-27 |
| 1629144159 | Steve Weston | Social Worker | 2255 Lewisville Clemmons Rd, Clemmons, NC 27012-7463 | 2006-11-27 |
| 1104992627 | William Jeffery Marshall | Psychiatry & Neurology | 2255 Lewisville Clemmons Rd, Clemmons, NC 27012-7463 | 2006-11-27 |
| 1750468328 | Piedmont Psychiatric Associates | Counselor | 2255 Lewisville Clemmons Rd, Suite E, Clemmons, NC 27012-7463 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| Find all providers in zip 27012 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659510832 | Michael Elliott Harris | Physician Assistant | 5175 Old Clemmons School Rd, Clemmons, NC 27012-9087 | 2009-02-12 |
| 1588069066 | Matthew Green | Physician Assistant | 2311 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2014-10-27 |
| 1447676788 | Benjamin Keith Boles | Physician Assistant | 7210 Village Medical Cir Ste 110, Clemmons, NC 27012-8029 | 2014-03-11 |
| 1053692079 | West Forsyth Pain Management | Physician Assistant | 2554 Lewisville Clemmons Rd, Suite 211, Clemmons, NC 27012-8110 | 2011-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
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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.