GARY BLAINE GREEN (NPI# 1891055687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891055687 |
| Entity Type | Individual |
| Full Name | GARY BLAINE GREEN |
| Practice Address |
5303 50th St Lubbock TX 79414-5823 |
| Practice Telephone | 8067998950 |
| Practice Fax Number | 8067929404 |
| Mailing Telephone | 8067998950 |
| Mailing Fax Number | 8067929404 |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | T0797 | NM | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114167731 | Gary Lane Green | Counselor | 1232 W Poplar St, Rogers, AR 72756-4246 | 2009-02-21 |
| 1376765222 | Gary Joel Green | Dentist | 4646 Lindell Blvd, Saint Louis, MO 63108-3702 | 2007-05-02 |
| 1770561615 | Gary Lee Green | Internal Medicine | 400 Enterprise Dr, Scarborough, ME 04074-7662 | 2006-01-01 |
| 1801896816 | Gary A Green | Podiatrist | 670 Shepard Ln, Suite 102, Farmington, UT 84025-3936 | 2005-08-01 |
| 1780682336 | Gary Randall Green | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 750 East Adams St, Syracuse, NY 13210 | 2005-07-08 |
| 1427532761 | Gary Green | Counselor | 270 Carpenter Dr Ste 400, Sandy Springs, GA 30328-4933 | 2018-09-22 |
| 1770876716 | Gary Michael Green | Emergency Medicine | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2011-05-24 |
| 1801114657 | Gary Ronald Green | Chiropractor | 2292 W Magee Rd, Suite 170, Tucson, AZ 85742-4301 | 2010-05-04 |
| 1306095393 | Gary Wayne Green | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2008-09-15 |
| 1730372210 | Gary D Green | Counselor | 1820 Central Ave, Hot Springs, AR 71901-6847 | 2007-08-20 |
| Street Address |
5303 50TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982621819 | Eileen L Goebel | Audiologist | 5303 50th St, Lubbock, TX 79414-5823 | 2006-07-16 |
| 1538641931 | Hunter Gerhart | Audiologist | 5303 50th St, Lubbock, TX 79414-1817 | 2018-08-31 |
| 1073046082 | Austin Rodgers | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-04-06 |
| 1598298598 | Maxie Quiles | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-04-06 |
| 1144751553 | Jerri Lively | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-03-27 |
| 1518408129 | Natasha Stevens | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-03-15 |
| 1790226330 | Shawn Clark | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-03-15 |
| 1760920896 | Jamie Myers | Audiologist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-02-09 |
| 1790223782 | Bryan Beatty | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-02-09 |
| 1831632678 | Trevor Smith | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2016-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639256746 | Randall Neil King | Hearing Instrument Specialist | 2821 74th St, Lubbock, TX 79423-1437 | 2006-11-01 |
| 1811537483 | Wesley D Otto | Hearing Instrument Specialist | 2821 74th St, Lubbock, TX 79423-1437 | 2020-01-13 |
| 1073046082 | Austin Rodgers | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-04-06 |
| 1598298598 | Maxie Quiles | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-04-06 |
| 1144751553 | Jerri Lively | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-03-27 |
| 1518408129 | Natasha Stevens | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-03-15 |
| 1790226330 | Shawn Clark | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-03-15 |
| 1790223782 | Bryan Beatty | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-02-09 |
| 1831632678 | Trevor Smith | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2016-11-28 |
| 1417402769 | Jason Johnson | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2016-08-16 |
| Find all providers in LUBBOCK | ||||
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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.