DR. KEVIN ROBERT GREEN (NPI# 1801901897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801901897 |
| Entity Type | Individual |
| Full Name | DR. KEVIN ROBERT GREEN |
| Credential | MD |
| Practice Address |
1259 W 20th Ave Oshkosh WI 54902-6650 |
| Practice Telephone | 9206513600 |
| Practice Fax Number | 9202651360 |
| Mailing Telephone | 9206513600 |
| Mailing Fax Number | 9206513605 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 207Q00000X | Family Medicine | 33989 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | BG4797772 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497227151 | Kevin Lee Green | Physician Assistant | 10221 E 81st St, Tulsa, OK 74133-4559 | 2018-12-19 |
| 1003319161 | Kevin Bernard Green | Non-emergency Medical Transport (VAN) | 10217 Woodland Hills Dr, Cordova, TN 38018-6663 | 2018-03-15 |
| 1346602927 | Kevin Roy Green | Internal Medicine | 653-1 W 8th St # L18, Jacksonville, FL 32209-6511 | 2016-03-23 |
| 1699770495 | Kevin J Green | Optometrist | 2038 Monument Ave, Richmond, VA 23220-2708 | 2005-06-17 |
| 1649605965 | Kevin M Green | Marriage & Family Therapist | 199 N 290 W, Suite 150, Lindon, UT 84042-1810 | 2013-09-05 |
| 1922237312 | Kevin M Green | Chiropractor | 500 N Financial Ter, Ste G, Mustang, OK 73064-4437 | 2009-07-07 |
| 1114165941 | Kevin Anthony Green IIi | Counselor | 2112 Riverdale Street, West Springfield, MA 01089 | 2009-02-02 |
| 1053521302 | Kevin Joseph Green | Physician Assistant | 1450 Scalp Ave, Suite 106, Johnstown, PA 15904-3374 | 2007-05-23 |
| 1831265628 | Kevin P Green | Social Worker | 2021 Grand Concourse Fl 9, Bronx, NY 10453-4304 | 2006-11-26 |
| 1851485411 | Kevin Finnie Green | Urology | 2542 Langhorne Rd, Lynchburg, VA 24501-1602 | 2006-10-03 |
| Street Address |
1259 W 20TH AVE |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54902-6650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688363 | Grandpa Ray's Home Care Partners LLC | In Home Supportive Care | 1755 W 7th Avenue, Oshkosh, WI 54902 | 2020-04-22 |
| 1942866314 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1212 S Koeller St, Oshkosh, WI 54902 | 2019-05-11 |
| 1508299926 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1736 W. 9th Ave., Oshkosh, WI 54902 | 2013-08-21 |
| 1881971513 | Eric D Jachthuber | Pharmacist | 950 Koeller Rd, Oshkosh, WI 54902 | 2011-11-09 |
| 1912158148 | Jennifer L Daly | Registered Nurse | 648 West 5th Avenue, Oshkosh, WI 54902 | 2008-10-07 |
| 1093873028 | Phyllis Ann Pieplow | Registered Nurse | 2307 Doty St, Oshkosh, WI 54902 | 2006-12-04 |
| 1336210939 | Juliette P M Sterkens | Audiologist | 1820 West Pointe Drive, Fox Valley Hearing Ctr Inc, Oshkosh, WI 54902 | 2006-11-13 |
| 1043266927 | Christopher S. Mcfarlane | Dentist | 1875 West Pointe Dr., Oshkosh, WI 54902 | 2006-05-25 |
| 1285688192 | Theresa Lynn Petrick Gatchell | Optometrist | 1300 S Koeller Road, Oshkosh, WI 54902 | 2006-05-22 |
| 1558329821 | Teresa M Vanaacken | Physical Therapist | 300 S Koeller Street, Suite B, Oshkosh, WI 54902 | 2006-05-03 |
| Find all providers in zip 54902 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346667946 | Megan Grace Bartelt | Acupuncturist | 146 Algoma Blvd Ste B, Oshkosh, WI 54901-4891 | 2014-03-21 |
| 1386841245 | Corrine Elizabeth Rathbun | Acupuncturist | 711 Oregon St, Oshkosh, WI 54902-5967 | 2007-07-02 |
| 1447499405 | Heather Anne Nicholson | Acupuncturist | 155 N Sawyer St, Oshkosh, WI 54902-5674 | 2009-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304588 | Midwest Pain Treatment Center LLC | Acupuncturist | 3005 S Riverside Dr Ste 201, Beloit, WI 53511-1500 | 2020-10-23 |
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1235749573 | Alyssa Draeger | Acupuncturist | 880 S View Dr Ste 15231, Mosinee, WI 54455-8203 | 2020-08-02 |
| 1124642335 | Michael Ojer | Acupuncturist | 222 N Midvale Blvd Ste 1, Madison, WI 53705-5072 | 2020-06-03 |
| 1396368890 | Lara Michelle Patterson | Acupuncturist | 4010 Pleasant Ln, Mount Pleasant, WI 53405-4839 | 2020-05-19 |
| 1093346629 | Mary Ann Roeseler | Acupuncturist | 4027 S 2nd St, Milwaukee, WI 53207-4313 | 2020-02-02 |
| 1063043875 | Alexandra Modell | Acupuncturist | 5225 N Ironwood Rd Ste 102, Glendale, WI 53217-4909 | 2020-01-30 |
| 1225668833 | Louis Lei Jin | Acupuncturist | 11308 W Greenfield Ave Unit 1, Milwaukee, WI 53214-2246 | 2020-01-22 |
| 1275172819 | Oriental Wellness & Acupuncture LLC | Acupuncturist | 5944 Wakefield Ave, Mt Pleasant, WI 53406-5252 | 2019-12-30 |
| 1013555945 | Bertram M Schneider | Acupuncturist | 23 S Main St Ste P, Hartford, WI 53027-1867 | 2019-12-10 |
| 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.