MR. DANA L GREEN (NPI# 1790867034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790867034 |
| Entity Type | Individual |
| Full Name | MR. DANA L GREEN |
| Credential | PAC |
| Practice Address |
50 Union St Ellsworth Internal Medicine Ellsworth ME 04605-1534 |
| Practice Telephone | 2076647780 |
| Practice Fax Number | 2076647721 |
| Mailing Telephone | 2076647780 |
| Mailing Fax Number | 2076647721 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-511 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 322 Main St Fl 3, Bar Harbor, ME 046091648 | 2072888604 | 2072888602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348617 | Dana M Green | Behavior Technician | 2413 2nd Street Ter, Sedalia, MO 65301-2330 | 2020-02-21 |
| 1750763124 | Dana Lea Green | Speech-Language Pathologist | 940413 S 3330 Rd, Wellston, OK 74881-7075 | 2015-06-22 |
| 1992914162 | Dana Marie Green | Counselor | 717b Highway 70 E, Kingston, OK 73439-8253 | 2007-05-22 |
| 1730202920 | Dana Green | Home Health Aide | 13607 Saybrook Ave, Garfeild, Garfield Heights, OH 44105-7021 | 2007-04-10 |
| 1053919712 | Dana Frances Green | Physician Assistant | 1298 N Main St, Fuquay Varina, NC 27526-2615 | 2020-10-15 |
| 1972869436 | Dana Renee Green | Nurse Practitioner | 3400 Spruce St, 8 Silverstein, Philadelphia, PA 19104-4206 | 2012-04-09 |
| 1841431533 | Dana R Green | Massage Therapist | 236 E Main St, Ashland, OR 97520-1831 | 2009-03-10 |
| 1770605917 | Dana Maureen Green | Physical Therapist | 1620 Wheeler St, Emporia, KS 66801-6146 | 2007-04-06 |
| Street Address |
50 UNION ST ELLSWORTH INTERNAL MEDICINE |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862020 | Jeffrey S Graham | Urology | 50 Union St, Suite 1400, Ellsworth, ME 04605-1534 | 2005-06-21 |
| 1215559240 | Taylor Leavitt | Nurse Practitioner | 50 Union St, Ellsworth, ME 04605-1534 | 2020-05-13 |
| 1053878371 | Maine Medical Services LLC | Internal Medicine | 50 Union St, Ellsworth, ME 04605-1534 | 2019-02-22 |
| 1306318522 | Jalisa Patten | Speech-Language Pathologist | 50 Union St, Ellsworth, ME 04605-1534 | 2018-12-28 |
| 1538638432 | Hospital Medicine Services of Maine LLC | Hospitalist | 50 Union St, Ellsworth, ME 04605-1534 | 2018-11-20 |
| 1023466562 | Jesse R Cloutier | Physician Assistant | 50 Union St, Suite 2100, Ellsworth, ME 04605-1534 | 2016-05-25 |
| 1922470525 | Peter Copithorne | Orthopaedic Surgery | 50 Union St, Ellsworth, ME 04605-1534 | 2015-10-22 |
| 1437529393 | Maine Coast Hand and Shoulder, P.C. | Orthopaedic Surgery | 50 Union St, Suite 2200, Ellsworth, ME 04605-1534 | 2015-10-04 |
| 1598152035 | Maine Coast Regional Health Facilities | Pediatrics | 50 Union St, Ellsworth, ME 04605-1534 | 2015-04-22 |
| 1194139691 | Perri Huitt | Internal Medicine | 50 Union St, Ellsworth, ME 04605-1534 | 2014-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851434260 | Jeffrey Allen Davis | Physician Assistant | 226 High St, Ellsworth, ME 04605-1742 | 2007-02-15 |
| 1578505632 | Thomas Macdonald | Physician Assistant | 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605-1586 | 2006-06-12 |
| 1366481137 | Katharine Sherrill | Physician Assistant | 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605-1586 | 2006-06-06 |
| 1770520124 | Hunt Gressitt | Physician Assistant | 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605-1586 | 2006-06-01 |
| 1144267055 | Sherrie A Downing | Physician Assistant | 32 Resort Way, Ellsworth Family Medicine, Ellsworth, ME 04605-1717 | 2006-05-31 |
| 1366499642 | Jane Reinoso | Physician Assistant | 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605-1586 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1073081428 | Ishah Marie Price | Physician Assistant | 30 Preble St Apt 663, Portland, ME 04101-4939 | 2018-11-04 |
| 1073056412 | Sara Burdick | Physician Assistant | 9 Healthcare Dr Ste 202, Biddeford, ME 04005-9450 | 2016-12-01 |
| 1487068565 | Andrew Cutter | Physician Assistant | 31 Annies Way, Gorham, ME 04038-2391 | 2014-06-17 |
| 1629337902 | Shannon N Moreau | Physician Assistant | 343 Us Route 1, York, ME 03909-1636 | 2012-05-08 |
| 1366769085 | David Arthur Hamel | Physician Assistant | 85 Brixham Rd, York, ME 03909-5342 | 2010-04-21 |
| 1164751152 | Elaine M Cadorette | Physician Assistant | 100 Foden Rd., West Building Suite 103, South Portland, ME 04106-2351 | 2009-12-22 |
| 1316130198 | Ronald W Kessler | Physician Assistant | 632 Brighton Ave, Portland, ME 04102-1017 | 2007-08-24 |
| 1932300142 | Ian Fm Buchan | Physician Assistant | Central Maine Partners In Health, 30 Belgrade Avenue, Auburn, ME 04210 | 2007-05-29 |
| 1316159072 | Bruce Brokaw | Physician Assistant | 400 Captain Thomas Road, Wells, ME 04090-7552 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. DANA L 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.