DR. GARY MICHAEL GREEN (NPI# 1770876716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770876716 |
| Entity Type | Individual |
| Full Name | DR. GARY MICHAEL GREEN |
| Credential | M.D. |
| Practice Address |
275 W Macarthur Blvd Oakland CA 94611-5641 |
| Practice Telephone | (510) 752-1000 |
| Mailing Telephone | (510) 752-1000 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A123099 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 505 Parnassus Ave Rm L126, Box 0208, San Francisco, CA 941432204 | 4153531634 | |
| 901 Nevin Ave, Richmond, CA 948013143 | 5103071500 |
| 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 |
| 1770561615 | Gary Lee Green | Internal Medicine | 400 Enterprise Dr, Scarborough, ME 04074-7662 | 2006-01-01 |
| 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 |
| 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 |
275 W MACARTHUR BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437137700 | Ann Stembridge Kung | Genetic Counselor, MS | 275 W Macarthur Blvd, Kaiser Oakland/genetics Dept, Oakland, CA 94611-5641 | 2006-01-05 |
| 1245869064 | Kira Rose-madison Seiger | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2020-04-03 |
| 1376171579 | Andrew David Lynch | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2020-04-01 |
| 1992333066 | Mary Louise Creedon | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2020-04-01 |
| 1639706773 | Sarah Elizabeth Eppley | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2020-03-26 |
| 1033746078 | Nihar Udayan Patel | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2020-03-26 |
| 1760019368 | Youhi Ghouse | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2020-03-24 |
| 1053948638 | Amy Wang | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2020-03-24 |
| 1588291447 | Santino Sciscione Butler | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2020-03-23 |
| 1477180354 | Timothy Yang | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418710 | Tn Tele Md PC | Emergency Medicine | 578 Ivy Dr, Oakland, TN 38060-3132 | 2020-05-13 |
| 1851779870 | Graham Becherer-bailey | Emergency Medicine | Highland Hospital Emergency Department, 1411 East 31st. Ave., Oakland, CA 94602 | 2015-05-11 |
| 1366702391 | Katherine Farmer | Emergency Medicine | 275 Macarthur Blvd, Oakland, CA 94610-3178 | 2012-05-24 |
| 1003128364 | Daniel Mantuani | Emergency Medicine | 1506 4th Ave Apt 5, Apt 5, Oakland, CA 94606-2351 | 2010-07-02 |
| 1205154549 | Andrea Xuxia Durant | Emergency Medicine | 4096 Piedmont Ave # 708, Oakland, CA 94611-5221 | 2010-05-11 |
| 1285871798 | Brita Elise Zaia | Emergency Medicine | 1141 East 31st St., Department of Emergency Medicine, Oakland, CA 94602-1018 | 2009-01-21 |
| 1952547937 | Naomi Victoria Marks | Emergency Medicine | 1411 E. 31st St., Emergency Dept, Oakland, CA 94602 | 2008-12-23 |
| 1336309582 | Louis Christopher Rivera | Emergency Medicine | 645 El Dorado Ave, Apt 304, Oakland, CA 94611-5082 | 2008-06-11 |
| 1649469701 | Christopher Adam Walker | Emergency Medicine | 100 Grand Ave, Apt 1711, Oakland, CA 94612-3078 | 2007-10-15 |
| 1447477906 | Kelley Renae Feeley | Emergency Medicine | 280 W. Mac Arthur Blvd, Emergency Department, Oakland, CA 94611 | 2007-04-19 |
| Find all providers in OAKLAND | ||||
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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.