ELMER H. GREEN (NPI# 1770793622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770793622 |
| Entity Type | Individual |
| Full Name | ELMER H. GREEN |
| Credential | M.D. |
| Practice Address |
2701 156th Ave Ne Redmond WA 98052-5513 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 4258835020 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD00009983 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8444804 | 05 |
| Street Address |
2701 156TH AVE NE |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700942323 | Ruth T Emerson | Family Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2006-12-28 |
| 1184824237 | Daniel C. Root | Dermatology | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-07-18 |
| 1366565319 | Konping Khang | Pharmacist | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-04-06 |
| 1801916580 | Catherine T Yoo | Internal Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-03-29 |
| 1962522599 | Marshall H, Eaton | Family Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-03-29 |
| 1942320502 | Amy E Jermann | Physician Assistant | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-03-29 |
| 1811026651 | Ann H Gelgisser | Physician Assistant | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-03-05 |
| 1851427405 | Thomas J Kimmel | Physician Assistant | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-02-26 |
| 1174658181 | Smitha Gatta | Family Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-02-22 |
| 1689719049 | Lawrence S Zeidman | Family Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599273 | Etherton, Inc | Family Medicine | 2610 Yelm Hwy Se, Olympia, WA 98501-4826 | 2020-02-10 |
| 1205494291 | Reah Ann Tobola | Family Medicine | 4602 78th Avenue Ct W, University Place, WA 98466-3036 | 2019-06-04 |
| 1760909055 | Washington State University | Family Medicine | 1455 Ne Cougar Way Bohler Complex, Pullman, WA 99164-0001 | 2017-08-28 |
| 1275057655 | Choice Family Medicine LLC | Family Medicine | 135 Thorne St, Walla Walla, WA 99362-3142 | 2017-07-27 |
| 1366826240 | Andrew Parker | Family Medicine | 3324 Bernie Rd, Camano Island, WA 98282-8217 | 2015-07-10 |
| 1538572151 | Daniel Joseph Cevetello | Family Medicine | 127 Ne Camano Dr Ste A, Camano Island, WA 98282-8732 | 2014-06-11 |
| 1417205618 | John Gary Meyer | Family Medicine | 5715 48th St W, University Place, WA 98467-3677 | 2012-08-17 |
| 1932347119 | Iris Crawford | Family Medicine | 4208 Leary Way, Seattle, WA 98107 | 2009-01-27 |
| 1497925226 | Ingeborg Espinosa Cox | Family Medicine | 325 9th Ave # 359739, Seattle, WA 98104-2420 | 2008-03-07 |
| 1174791974 | Kenneth J Ritter Md Pllc | Family Medicine | 1310 South Union, A-201, Tacoma, WA 98405 | 2008-02-14 |
| 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.