DR. GARY LEE GREEN (NPI# 1770561615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770561615 |
| Entity Type | Individual |
| Full Name | DR. GARY LEE GREEN |
| Credential | M.D. |
| Practice Address |
400 Enterprise Dr Scarborough ME 04074-7662 |
| Practice Telephone | 2072891025 |
| Practice Fax Number | 2072891028 |
| Mailing Telephone | 2072891025 |
| Mailing Fax Number | 2072891028 |
| Enumeration Date | 2006-01-01 |
| Last Update Date | 2011-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 013090 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114167731 | Gary Lane Green | Counselor | 1232 W Poplar St, Rogers, AR 72756-4246 | 2009-02-21 |
| 1376765222 | Gary Joel Green | Dentist | 4646 Lindell Blvd, Saint Louis, MO 63108-3702 | 2007-05-02 |
| 1801896816 | Gary A Green | Podiatrist | 670 Shepard Ln, Suite 102, Farmington, UT 84025-3936 | 2005-08-01 |
| 1780682336 | Gary Randall Green | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 750 East Adams St, Syracuse, NY 13210 | 2005-07-08 |
| 1427532761 | Gary Green | Counselor | 270 Carpenter Dr Ste 400, Sandy Springs, GA 30328-4933 | 2018-09-22 |
| 1891055687 | Gary Blaine Green | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-5823 | 2012-05-25 |
| 1770876716 | Gary Michael Green | Emergency Medicine | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2011-05-24 |
| 1801114657 | Gary Ronald Green | Chiropractor | 2292 W Magee Rd, Suite 170, Tucson, AZ 85742-4301 | 2010-05-04 |
| 1306095393 | Gary Wayne Green | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2008-09-15 |
| 1730372210 | Gary D Green | Counselor | 1820 Central Ave, Hot Springs, AR 71901-6847 | 2007-08-20 |
| Street Address |
400 ENTERPRISE DR |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-7662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659630150 | A Better Way To Live - Family Wellness Center | Chiropractor | 400 Enterprise Dr, Suite #2, Scarborough, ME 04074-7662 | 2012-05-04 |
| 1285950899 | Jason Adour | Physical Therapist | 400 Enterprise Dr, Scarborough, ME 04074-7662 | 2010-04-08 |
| 1144385329 | Kenneth Cayer | Chiropractor | 400 Enterprise Dr, Ste 2, Scarborough, ME 04074-7663 | 2006-12-27 |
| 1831254010 | Greater Portland Chiropractic, Inc. | Chiropractor | 400 Enterprise Dr, Suite 2, Scarborough, ME 04074-7639 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| 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 |
|---|---|---|---|---|
| 1720570005 | Atputhanathan Richard Jeyaranjan | Internal Medicine | 1585 Markham Road, Suite 302, Scarborough, ONTARIO M1B2W1 | 2018-06-03 |
| 1003909565 | Mark A Wrona | Internal Medicine | 51 Us Route 1, Scarborough, ME 04074-7158 | 2006-10-02 |
| 1477598688 | Kenneth A Ault | Internal Medicine | 81 Research Dr, Scarborough, ME 04074-7204 | 2006-06-19 |
| 1689619884 | Stephan P Babirak | Internal Medicine | 71 Us Route 1 Ste J, Scarborough, ME 04074-7168 | 2006-06-19 |
| 1538106679 | Joseph T Degrinney IIi | Internal Medicine | 300 Professional Dr, Scarborough, ME 04074-8897 | 2006-05-31 |
| 1841256690 | Jessica C Rockwell | Internal Medicine | 175 Us Route One, Scarborough, ME 04074 | 2006-04-21 |
| 1114312774 | Abtin Farahmand | Internal Medicine | 175 Us Route 1, Scarborough, ME 04074-9048 | 2015-03-31 |
| 1346504545 | Evdokia Eleftheriou | Internal Medicine | 49 Spring St, Scarborough, ME 04074-8926 | 2012-07-02 |
| 1972863447 | Marie Masse Caldwell | Internal Medicine | 175 Us Route 1, Scarborough, ME 04074-9048 | 2012-05-18 |
| 1184910697 | Sarah A Dodwell | Internal Medicine | 49 Spring St, Scarborough, ME 04074-8926 | 2011-06-22 |
| Find all providers in SCARBOROUGH | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
Please comment or provide details below to improve the information on DR. GARY LEE GREEN.
| 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.