KELLY E GREENE (NPI# 1790857340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790857340 |
Entity Type | Individual |
Full Name | KELLY E GREENE |
Credential | M.D. |
Practice Address |
15 W Dry Creek Cir Littleton CO 80120-4427 |
Practice Telephone | 3039521100 |
Practice Fax Number | 7202873183 |
Mailing Telephone | 3039193869 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2019-03-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 35513 | CO | Allopathic & Osteopathic Physicians |
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
35513 | CO | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
35513 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 91034752 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346623154 | Kelly L Greene | Registered Nurse | 1901 E Wausau Ave, Wausau, WI 54403-3158 | 2015-06-30 |
1508810318 | Kelly Kathleen Greene | Clinical Neuropsychologist | 701 Us Highway 31 S, Traverse City, MI 49685-8016 | 2006-05-19 |
1417311549 | Kelly Maureen Greene | Counselor | 122 Business Park Dr Ste 1, Utica, NY 13502 | 2016-04-05 |
1962873356 | Kelly Greene | Hearing Instrument Specialist | 5540 Pga Blvd, Suite 102, Palm Beach Gardens, FL 33418-3987 | 2015-10-12 |
1609116102 | Kelly Page Greene | Registered Nurse | 405 W Washington St, Dillon, SC 29536-2855 | 2013-02-20 |
1073702742 | Kelly N Greene | Nurse Practitioner | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2007-10-18 |
1194920793 | Kelly M Greene | Occupational Therapist | 182 North St, Auburn, NY 13021-1811 | 2007-06-15 |
1972674679 | Kelly Ann Greene V | Case Manager/Care Coordinator | 500 W Foster Rd, Santa Maria, CA 93455-3620 | 2006-11-13 |
Street Address |
15 W DRY CREEK CIR |
City | LITTLETON |
State | CO |
Zip Code | 80120-4427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639153141 | Ronald L Miller | Internal Medicine | 15 W Dry Creek Cir, Littleton, CO 80120-4427 | 2005-11-30 |
1811484256 | Rebeccah Gurule | Nurse Practitioner | 15 W Dry Creek Cir, Littleton, CO 80120-4485 | 2018-04-20 |
1174029904 | Nicole Brock | Nurse Practitioner | 15 W Dry Creek Cir, Littleton, CO 80120-4427 | 2018-04-02 |
1124533831 | Patricia Susan Horvath | Nurse Practitioner | 15 W Dry Creek Cir, Littleton, CO 80120-4427 | 2017-12-05 |
1245742824 | Amy Pandorf | Nurse Practitioner | 15 W Dry Creek Cir, Littleton, CO 80120-4427 | 2017-11-03 |
1518418599 | Kristen Marie Snyder | Physician Assistant | 15 W Dry Creek Cir, Littleton, CO 80120-4427 | 2016-10-14 |
1295285815 | Allison Wagstaff | Clinical Nurse Specialist | 15 W Dry Creek Cir, Littleton, CO 80120-4427 | 2016-10-06 |
1154878981 | Clare Sullivan | Nurse Practitioner | 15 W Dry Creek Cir, Littleton, CO 80120-4427 | 2016-09-09 |
1407206725 | Internal Medicine Center | Internal Medicine | 15 W Dry Creek Cir, Littleton, CO 80120-4427 | 2016-06-17 |
1447624978 | Margaret V Bernard | Nurse Practitioner | 15 W Dry Creek Cir, Littleton, CO 80120-4427 | 2015-11-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073156303 | Kelly Joy Brutsch | Counselor | 8191 Southpark Lane Suite 201, Littleton, CO 80120 | 2019-10-18 |
1902468309 | Infiniti Counseling, LLC | Clinic/Center | 4 W Dry Creek Circle, Littleton, CO 80120 | 2019-07-05 |
1437642642 | Brent Charles Mowery | Dentist | 209 W Littleton Blvd Ste B, Littleton, CO 80120 | 2018-06-12 |
1225525066 | Christopher Charles Miller | Counselor | 7851 S. Elati St., Suite 203, Littleton, CO 80120 | 2018-04-17 |
1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
1780113175 | Janine Marie Lopez | Case Manager/Care Coordinator | 5500 S Sycamore, Littleton, CO 80120 | 2017-06-08 |
1952845588 | Hilary Sparrow Morris | Counselor | 991 Southpark Drive, #200, Cerescan, Littleton, CO 80120 | 2016-12-16 |
1760837132 | Supported Change,llc | Social Worker | 609 W Littleton Blvd Suite 201, Littleton, CO 80120 | 2016-05-04 |
1598123994 | Jarod Williams | Counselor | 8151 Southpark Ln Unit 250, Littleton, CO 80120 | 2016-02-01 |
1770948085 | Susan Jean Sylvester | Counselor | 609 West Littleton Blvd., Suite 201, Littleton, CO 80120 | 2015-12-31 |
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Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 |
---|---|---|---|---|
1235123191 | Waverly Syndor Green IIi | Internal Medicine | 580 Saint Johnsbury Rd, Suite 25, Littleton, NH 03561-3437 | 2005-09-07 |
1194932913 | Littleton Pulmonary Consultants Pllc | Internal Medicine | 7780 S Broadway, Suite 360, Littleton, CO 80122-2648 | 2007-05-17 |
1255424347 | Robert D Ballard | Internal Medicine | 15 W Dry Creek Cir, Littleton, CO 80120 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932712155 | Poudre Valley Medical Group, LLC | Internal Medicine | 940 Central Park Dr Ste 290, Steamboat Springs, CO 80487-8853 | 2020-08-27 |
1235627555 | Melanie Koenigshoff | Internal Medicine | 12605 E 16th Ave Rm 9014, Aurora, CO 80045-2545 | 2018-04-23 |
1598005266 | Richard O'brien | Internal Medicine | 422 Idlewild Dr, Dillon, CO 80435-8335 | 2013-02-18 |
1417208257 | Timothy C Kennedy Md LLC | Internal Medicine | 2045 Ash St, Denver, CO 80207-3717 | 2012-09-19 |
1659662484 | Kent Lee Christopher | Internal Medicine | 9086 E Colorado Cir, Denver, CO 80231-2924 | 2011-04-27 |
1215228473 | Thomas Theodore Heacock | Internal Medicine | Uchealth Pulmonology Clinic, 2121 E Harmony Road Suite 300, Fort Collins, CO 80528-3403 | 2011-04-22 |
1730316464 | Peter D Sottile | Internal Medicine | 12700 E 19th Ave Rm 9023, Mail Stop C272, Aurora, CO 80045-2560 | 2009-06-20 |
1730377557 | Robert E. Benkert, Md PC | Internal Medicine | 9201 W 44th Ave, Unit B, Wheat Ridge, CO 80033-3084 | 2007-10-05 |
1487776530 | Eric Rich | Internal Medicine | 12700 E 19th Ave, Room 9c03, Aurora, CO 80045 | 2007-04-06 |
1326162330 | Rocky Mountain Pulmonary & Critical | Internal Medicine | 8550 W 38th Ave Ste 202, Wheat Ridge, CO 80033-4342 | 2007-03-16 |
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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.