MISS AUTUMN-MARIE L GREEN (NPI# 1851648448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851648448 |
| Entity Type | Individual |
| Full Name | MISS AUTUMN-MARIE L GREEN |
| Credential | P.A.-C. |
| Practice Address |
1100 W Central Rd #200 Arlington Heights IL 60005-2402 |
| Practice Telephone | 8473925440 |
| Mailing Telephone | 8473925440 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2014-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085004400 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1100 W CENTRAL RD #200 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538160494 | Arvydas Tauras | Specialist | 1100 W Central Rd, Suite 206, Arlington Heights, IL 60005-2402 | 2005-08-02 |
| 1417362229 | We Care Orthopedics, Ltd. | Specialist | 1100 W Central Rd, Suite # 304, Arlington Heights, IL 60005-2402 | 2014-07-01 |
| 1114342045 | Courtney Knoebber | Physician Assistant | 1100 W Central Rd, Suite 200, Arlington Heights, IL 60005-2402 | 2014-03-01 |
| 1659615060 | Northwest Surgicare Ltd | Anesthesiology | 1100 W Central Rd, Arlington Heights, IL 60005-2402 | 2012-11-26 |
| 1194069732 | Suburban Associates In Ophthalmology LLC | Ophthalmology | 1100 W Central Rd, Suite 205, Arlington Heights, IL 60005-2402 | 2012-11-20 |
| 1245583715 | Suburban Associates In Ophthalmology LLC | Ophthalmology | 1100 W Central Rd, Suite 205, Arlington Heights, IL 60005-2402 | 2012-10-22 |
| 1578812863 | Arthur T Altman | Specialist | 1100 W Central Rd, Suite 200, Arlington Heights, IL 60005-2402 | 2012-09-03 |
| 1285881144 | Lena Chheda Shah | Ophthalmology | 1100 W Central Rd, Suite 205, Arlington Heights, IL 60005 | 2008-08-22 |
| 1437332202 | Arlington Orthopedics & Hand Surgery Specialists Ltd | Orthopaedic Surgery | 1100 W Central Rd, Ste 304, Arlington Heights, IL 60005-2402 | 2007-12-14 |
| 1861680092 | Careservices of Illinois LLC | Physician Assistant | 1100 W Central Rd, 404, Arlington Heights, IL 60005-2402 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453891 | Samantha Rexanna Shepherd | Physician Assistant | 85 W Algonquin Rd Ste 220, Arlington Heights, IL 60005-4423 | 2020-06-29 |
| 1982197380 | Elizabeth A Wolfe | Physician Assistant | 800 W Central Rd Ste 4500, Arlington Heights, IL 60005-2349 | 2018-06-11 |
| 1477066777 | Jake Musashe | Physician Assistant | 2101 S Arlington Heights Rd Ste 150, Arlington Heights, IL 60005-4142 | 2017-11-08 |
| 1346765211 | Lucas Scheitz | Physician Assistant | 3030 W Salt Creek Ln Ste 100, Arlington Heights, IL 60005-5006 | 2017-08-11 |
| 1699171371 | Andrea M Schrage | Physician Assistant | 2101 S Arlington Heights Rd Ste 108, Arlington Heights, IL 60005-4197 | 2014-11-07 |
| 1174655948 | Kenneth Edward Korber | Physician Assistant | 1522 E Peachtree Dr, Arlington Heights, IL 60004-3422 | 2007-03-09 |
| 1114550308 | Cierra D Johnson | Physician Assistant | 121 S Wilke Rd Ste 600, Arlington Heights, IL 60005-1529 | 2020-02-17 |
| 1417504499 | Michelle Diane Lynch | Physician Assistant | 880 W Central Rd Ste 5000, Arlington Heights, IL 60005-2355 | 2019-08-23 |
| 1780140806 | Jessica Rose Urbach | Physician Assistant | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-02-13 |
| 1255813788 | Megan Becker | Physician Assistant | 2101 S Arlington Heights Rd Ste 116, Arlington Heights, IL 60005-4142 | 2018-08-31 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
Please comment or provide details below to improve the information on MISS AUTUMN-MARIE 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.