MR. THOMAS J GREEN (NPI# 1861452120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861452120 |
| Entity Type | Individual |
| Full Name | MR. THOMAS J GREEN |
| Credential | MD |
| Practice Address |
303 N Clyde Morris Blvd Daytona Beach FL 32114 |
| Mailing Address |
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 |
| Practice Telephone | 3862544139 |
| Practice Fax Number | 3862588265 |
| Mailing Telephone | 3862587668 |
| Mailing Fax Number | 3862587671 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME0021283 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 069212300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760718779 | Thomas M. Green | Pharmacist | 303 1st Ave, Tybee Island, GA 31328-8752 | 2009-10-26 |
| 1548311483 | Thomas L Green | Chiropractor | 606 N 66th St., Lincoln, NE 68505-2408 | 2007-01-16 |
| 1093815292 | Thomas Marks Green | Dentist | 334 S Brea Blvd, Brea, CA 92821-5336 | 2006-09-25 |
| 1366551202 | Thomas Leonard Green | Family Medicine | 688 Frenchtown Road, East Greenwich, RI 02818 | 2006-08-30 |
| 1083624845 | Thomas H Green | Chiropractor | 1713 W Us Highway 160, Suite 215, West Plains, MO 65775-7669 | 2006-08-08 |
| 1477511665 | Thomas Alan Green | Nurse Practitioner | 12600 N 113th Ave Ste C6, Youngtown, AZ 85363-1164 | 2006-05-04 |
| 1770542862 | Thomas Patrick Green | Pediatrics | 2400 Childrens Plaza, Childrens Memorial Hospital, Chicago, IL 60614 | 2006-03-20 |
| 1538130075 | Thomas Arlis Green | Family Medicine | 1860 Us Route 20, Cazenovia, NY 13035-9647 | 2006-02-01 |
| 1861494718 | Thomas A Green | Chiropractor | 321 W Central Ave, Fitzgerald, GA 31750-2441 | 2005-08-11 |
| 1942207709 | Thomas J Green Jr. | Radiology | 1673 Mason Ave, Suite 305, Daytona Beach, FL 32117-5515 | 2005-07-07 |
| Street Address |
303 N CLYDE MORRIS BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991227 | Halifax Hospital Medical Center | Case Management | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2005-06-13 |
| 1447860374 | Priscilla Selig | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2020-08-05 |
| 1770123820 | Jane Hollis | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2020-01-07 |
| 1619512282 | Kristin Patrice Gardner | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-11-07 |
| 1447804364 | Brenda Martin Cohen | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-07-29 |
| 1285296574 | Cassie C Norris | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-07-08 |
| 1063077667 | Jara Apperley | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-05-08 |
| 1972068153 | Sreyboth Sreng | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-02-01 |
| 1356811244 | Matthew Evans | Nurse Anesthetist, Certified Registered | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2018-12-04 |
| 1932679503 | Amanda Gonzalez | Nurse Anesthetist, Certified Registered | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265493878 | Halifax Pathology Associates Pa | Pathology | 303 N Clyoe Morris Blvd, Daytona Beach, FL 32114 | 2006-03-31 |
| 1588663504 | Douglas Mark Hughes | Pathology | Halifx Medical Center, 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-1838 | 2005-07-20 |
| 1831539923 | Jason Chen | Pathology | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2013-07-03 |
| 1750464152 | Crystal P Jenkins | Pathology | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2006-10-23 |
| 1487689758 | Virendra D Desai | Pathology | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2006-07-12 |
| 1346200656 | William P Douglass | Pathology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-03-23 |
| 1912967225 | Jane L Chen | Pathology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-03-23 |
| 1386603900 | Steven M Popok | Pathology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-03-22 |
| 1861451593 | Lora J Shehi | Pathology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-03-21 |
| 1124092598 | Christopher D. Ingram | Pathology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-02-14 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.