DR. DARA A GREEN (NPI# 1710096573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710096573 |
| Entity Type | Individual |
| Full Name | DR. DARA A GREEN |
| Credential | MD |
| Practice Address |
92 W Miller St Orlando FL 32806-2032 |
| Practice Telephone | 3218414607 |
| Practice Fax Number | 3218414603 |
| Mailing Telephone | 3218414607 |
| Mailing Fax Number | 3218414603 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | ME92174 | FL | Allopathic & Osteopathic Physicians |
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
ME92174 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 271538400 | 05 | |
| FL | MEDICAL LICENSE | ME92174 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707928 | Dara Elzena Green | Physical Therapist | 142 Hollybrook Dr, Advance, NC 27006 | 2020-07-14 |
| Street Address |
92 W MILLER ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265402424 | Thidaporn Tanpattana | Pediatrics | 92 W Miller St, Orlando, FL 32806-2032 | 2006-01-23 |
| 1447869938 | Caroline Boudet Johnson | Nurse Practitioner | 92 W Miller St, Orlando, FL 32806-2032 | 2020-07-30 |
| 1699398461 | Kerri Lynn Telibasa | Nurse Practitioner | 92 W Miller St, Orlando, FL 32806-2032 | 2020-05-27 |
| 1295368215 | Amanda Rae Zakrajsek | Nurse Anesthetist, Certified Registered | 92 W Miller St, Orlando, FL 32806-2036 | 2020-02-18 |
| 1952947145 | Alexis Chloe Mcgavock | Registered Nurse | 92 W Miller St, Orlando, FL 32806-2032 | 2019-11-22 |
| 1457993933 | Britni Norris | Pediatrics | 92 W Miller St, Orlando, FL 32806-2036 | 2019-10-16 |
| 1154963809 | Alyssa Jane Grundon | Registered Nurse | 92 W Miller St, Orlando, FL 32806-2032 | 2019-10-15 |
| 1932662673 | Amar M Ingravera | Student in an Organized Health Care Education/Training Program | 92 W Miller St, Orlando, FL 32806-2032 | 2019-04-10 |
| 1154884807 | Keely B Larsen | Student in an Organized Health Care Education/Training Program | 92 W Miller St, Orlando, FL 32806-2032 | 2019-04-10 |
| 1154884815 | Shannen M Mcginley-vallee | Student in an Organized Health Care Education/Training Program | 92 W Miller St, Orlando, FL 32806-2032 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457489767 | Orlando Health Inc | Anesthesiology | 1414 Kuhl Ave., Orlando, FL 32806 | 2007-02-28 |
| 1063733061 | Yohana Zambrana Corchado | Anesthesiology | 92 W Miller St, Orlando, FL 32806-2032 | 2010-06-14 |
| 1548429897 | Joseph Michael Sroka | Anesthesiology | 92 W Miller St, Orlando, FL 32806-2032 | 2008-06-03 |
| 1023082047 | Steven E Lichtenstein | Anesthesiology | 13535 Nemours Pkwy, Nemours Childrens Hospital, Orlando, FL 32827-7402 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316365695 | Andrew Letayf | Anesthesiology | 2918 Gin Berry Way, West Palm Beach, FL 33401-6363 | 2014-04-03 |
| 1518114644 | Gershon Fink | Anesthesiology | 241 Ne 4th St Ste A, Delray Beach, FL 33444-3805 | 2008-08-20 |
| 1790900702 | Christie Burnett-yarnell | Anesthesiology | 14111 State Road 54, Pediatric Surgery Centers, Odessa, FL 33556-3663 | 2007-04-16 |
| 1225196074 | Childrens Anesthesia Associates Inc | Anesthesiology | 800 Sw 108th Ave Ste 200, Miami, FL 33174 | 2006-12-05 |
| 1780765040 | Nancy Setzer-saade | Anesthesiology | 928 Belle Meade Island Dr, Miami, FL 33138-5250 | 2006-10-17 |
| 1104397595 | Mellow Kids, Pllc. | Anesthesiology | 241 Ne 4th St Ste A, Delray Beach, FL 33444-3805 | 2018-12-10 |
| 1063939593 | Sunshine Pediatric Anesthesia Pllc | Anesthesiology | 10080 Balaye Run Dr, Tampa, FL 33619-7902 | 2017-08-25 |
| 1235494493 | Caleb Maness Stalls | Anesthesiology | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2012-07-12 |
| 1346526126 | Gershon Fink Do Pa | Anesthesiology | 241 Ne 4th St Ste A, Delray Beach, FL 33444-3805 | 2011-10-25 |
| 1831482074 | Gohalem Felema | Anesthesiology | 807 Childrens Way, Jacksonville, FL 32207-8202 | 2011-05-20 |
| 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.