DR. GORDON JAMES GREEN (NPI# 1780711945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780711945 |
| Entity Type | Individual |
| Full Name | DR. GORDON JAMES GREEN |
| Credential | MD |
| Practice Address |
800 Pennsylvania Ave Charleston WV 25302-3351 |
| Mailing Address |
1416 Virginia St E Charleston WV 25301-3014 |
| Practice Telephone | 3043882525 |
| Mailing Telephone | 3043452766 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 19355 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0111410000 | 05 | |
| WV | MEDICAL LICENSE | 19355 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427279124 | Gordon Guy Green | Counselor | 1800 N 16th St, Clarinda, IA 51632-1165 | 2007-05-01 |
| 1649281452 | Gordon K Green | Physical Therapist | 2662 Mcfarland Rd, Rockford, IL 61107-6806 | 2006-08-10 |
| 1265450464 | Gordon Keith Green | Dentist | 147 E Broad St, Lyons, IN 47443-9502 | 2006-07-17 |
| 1295796951 | Gordon Martin Green | Family Medicine | 295 Commonwealth Blvd W, Martinsville, VA 24112-1820 | 2006-03-31 |
| 1659341519 | Gordon Franklin Green | Internal Medicine | 402 N Kaufman St, Linden, TX 75563 | 2006-01-24 |
| 1063401107 | Gordon C Green | Optometrist | 421 Chestnut St, Evansville, IN 47713-1227 | 2005-10-20 |
| Street Address |
800 PENNSYLVANIA AVE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435556 | Tina Nannette Caldwell | Nurse Anesthetist, Certified Registered | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2005-05-31 |
| 1871107565 | Katherine Rose Laishley | Counselor | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2020-09-01 |
| 1871116327 | Jared Daniel Simpson | Nurse Anesthetist, Certified Registered | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2020-05-19 |
| 1306469861 | Allison Ferrell | Nurse Anesthetist, Certified Registered | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2020-05-19 |
| 1619598315 | Shikha Sharma | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2020-05-04 |
| 1861021859 | Taylor Pollock | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2020-04-02 |
| 1437786472 | Lyndsey Weatherly | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2020-03-26 |
| 1164059366 | Lindsey Kent | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2020-03-26 |
| 1154958502 | Rutvi Shah | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2020-03-25 |
| 1093342545 | Kelly Elizabeth Humphreys Simmons | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| 1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
| 1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
| 1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
| Find all providers in zip 25302 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632809 | Caitlin Marie Stoll | Pediatrics | 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414-6168 | 2020-06-08 |
| 1134743420 | Elizabeth Alden Mccants | Pediatrics | 125 Doughty St Ste 520d, Charleston, SC 29403-5736 | 2020-06-02 |
| 1770127516 | Nicole Danielle Clendenin | Pediatrics | 314 Goff Mountain Rd Ste 16, Charleston, WV 25313-6600 | 2019-11-05 |
| 1871059238 | Aminah Fraser- Abdur Rahim | Pediatrics | 1373 W Lenevar Dr, Charleston, SC 29407-5148 | 2019-02-11 |
| 1720518384 | Nicholas Matthew Cundiff | Pediatrics | 135 Rutledge Ave Dept Of, Charleston, SC 29425-8903 | 2017-06-15 |
| 1649632225 | Collin Dubick | Pediatrics | 1118 Sea Eagle Watch, Charleston, SC 29412-8249 | 2016-03-23 |
| 1417338781 | Heather Michelle Greene | Pediatrics | 169 Ashlet Avenue, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2015-06-12 |
| 1780098160 | Matthew John Saia | Pediatrics | 2124 Telfair Way, Charleston, SC 29412-2370 | 2014-06-13 |
| 1770922601 | Lauren Simpson Tipton | Pediatrics | 1243 Savannah Hwy Ste B, Charleston, SC 29407-7817 | 2013-06-25 |
| 1467747527 | Pratikkumar Patel | Pediatrics | 830 Pennsylvania Ave Ste 401, Charleston, WV 25302-3390 | 2011-06-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25302 |
Please comment or provide details below to improve the information on DR. GORDON JAMES 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.