MICHAEL D GREEN (NPI# 1699898882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699898882 |
| Entity Type | Individual |
| Full Name | MICHAEL D GREEN |
| Credential | PA-C |
| Practice Address |
410 West Main Street Sophia WV 25921 |
| Mailing Address |
217 Wood St Beckley WV 25801-4856 |
| Practice Telephone | 3046834304 |
| Mailing Telephone | 3042522856 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | NCCPA | 1040471 | 01 |
| 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 |
410 WEST MAIN STREET |
| City | SOPHIA |
| State | WV |
| Zip Code | 25921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152510 | Cortney Louise Lacy | Technician | 234 East Railroad Ave, Sophia, WV 25921 | 2020-10-20 |
| 1952909889 | April Chapman | Technician | 141 Leona Dr, Sophia, WV 25921 | 2020-10-13 |
| 1205445400 | Alesia Marie Basham | Technician | 216 Blue Room Rd, Sophia, WV 25921 | 2020-07-24 |
| 1104435304 | Shannon T. Linville | Technician | 304 W. Railroad Ave., Apt.2, Sophia, WV 25921 | 2020-07-24 |
| 1073077194 | James Kincaid | Pharmacist | 837 Robert C. Byrd Drive, Sophia, WV 25921 | 2019-01-23 |
| 1912472069 | Lester Square Pharmacy | Pharmacy | 837 Robert C Byrd Dr, Sophia, WV 25921 | 2018-10-04 |
| 1609194505 | New River Health Association, Inc. | Pharmacy | 302 W. Main St, Sophia, WV 25921 | 2010-05-17 |
| 1558590166 | A Place To Heal Inc | Physical Therapist | 106 W. Main Street, Sophia, WV 25921 | 2009-07-06 |
| 1023257599 | Jeremiah D Miller | Family Medicine | 302 W. Main St., Sophia, WV 25921 | 2009-02-06 |
| 1154585941 | Mary Jane Tudor | Technician/Technologist | 834 Robert C Byrd Drive Unit B, Sophia, WV 25921 | 2008-07-11 |
| Find all providers in zip 25921 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798321 | Trenton Ryan Johnson | Physician Assistant | 174 Country Ln, Kenna, WV 25248-7225 | 2020-10-26 |
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1720686066 | Ana Brandt | Physician Assistant | 33 Medical Center Dr, Morgantown, WV 26505-4024 | 2020-10-09 |
| 1518564012 | Lauren Brianne Peyton | Physician Assistant | 5322 Indiana St Apt 4, South Charleston, WV 25309-1055 | 2020-10-07 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1336754639 | Brittany Marie Herber | Physician Assistant | 22 Solomons Ct, Hedgesville, WV 25427-3683 | 2020-09-14 |
| 1417568312 | Kelsea Martin | Physician Assistant | 6 Dogwood St, Philippi, WV 26416-1660 | 2020-08-13 |
| 1720617889 | Keri Bedillion | Physician Assistant | 527 Medical Park Dr Ste 306, Bridgeport, WV 26330-9010 | 2020-04-02 |
| 1912539628 | Abigail Renee Grant | Physician Assistant | 123 Main Ave, Nitro, WV 25143-1270 | 2020-02-11 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| 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.