DR. ROBERT GREEN (NPI# 1902134380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902134380 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GREEN |
| Credential | D.O. |
| Practice Address |
8877 Se 165th Mulberry Ln The Villages FL 32162-5887 |
| Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
| Practice Telephone | 3526741750 |
| Mailing Telephone | 9417764008 |
| Mailing Fax Number | 9418454963 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2019-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS6664 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 N Tuttle Ave, Sarasota, FL 342375229 | 9413660800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851791826 | Robert Green | Counselor | 4680 Brownsboro Rd, Suite 201, Winston Salem, NC 27106-3428 | 2014-08-27 |
| 1306089321 | Robert Stewart Green | Licensed Practical Nurse | 1077 Woodside Dr, Mansfield, OH 44906-1536 | 2009-04-07 |
| 1861522328 | Robert Hyman Green | Pathology | 11022 Hibbing Street, Cerritos, CA 90703-6447 | 2007-03-06 |
| 1932298155 | Robert F Green | Podiatrist | 38600 Center Ridge Rd, N Ridgeville, OH 44039-2837 | 2006-10-12 |
| 1043308331 | Robert Tyler Green | Dentist | 1805 W White Oak Terrace, Suite A, Conroe, TX 77304-3950 | 2006-10-11 |
| 1811005234 | Robert Hart Green | Psychologist | 3830 Packard St, Suite #250, Ann Arbor, MI 48108-2051 | 2006-08-26 |
| 1265443204 | Robert Garrard Green | Physical Therapist | 2295 Foothill Drive, Salt Lake City, UT 84109 | 2006-08-11 |
| 1659317253 | Robert F Green | Dentist | 6506 Church St, Cass City, MI 48726-1204 | 2006-06-21 |
| 1669424859 | Robert Green | Physician Assistant | 3501 Nw 63rd St, Suite 500, Oklahoma City, OK 73116-2237 | 2006-05-16 |
| 1538120480 | Robert Lawrence Green | Counselor | 1233 Shelburne Road, Suite D 4, South Burlington, VT 05403-7753 | 2006-03-30 |
| Street Address |
8877 SE 165TH MULBERRY LN |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162-5887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387542 | Stephen Sandler | Social Worker | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2005-09-27 |
| 1609436203 | Shawna R Edge | Registered Nurse | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2019-06-17 |
| 1679036776 | Rebecca Lynn Craven | Nurse Practitioner | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2019-04-08 |
| 1457700908 | Mackenzie Kigin | Family Medicine | 8877 Se 165th Mulberry Ln, The Villages, FL 32162 | 2016-06-06 |
| 1649631896 | Priscilla Myers | Nurse Practitioner | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2016-03-16 |
| 1790154169 | Kimberly Joy Basham | Nurse Practitioner | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2015-09-16 |
| 1346584943 | Sharon L Peterson | Dietitian, Registered | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2012-11-20 |
| 1184982993 | Kerry-ann D Miller | Internal Medicine | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2012-04-30 |
| 1467603837 | Cynthia Lynne Stewart | Psychologist | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2008-10-03 |
| 1568663540 | Joan Lanier | Nurse Practitioner | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972944908 | James Henry Thomas | Family Medicine | 7828 Se 170th Stonebrook Ln, The Villages, FL 32162-8369 | 2013-07-06 |
| 1912235490 | Erin Beth Dariano | Family Medicine | 1503 Buenos Aires Blvd Ste 110, The Villages, FL 32159-6825 | 2009-11-23 |
| 1265444202 | Winston E Evalle | Family Medicine | 3351 Wedgewood Ln, The Villages, FL 32162-7181 | 2006-08-11 |
| 1508891680 | Family Physicians of Winter Park, Inc. | Family Medicine | 1400 N Us Highway 441 Ste 930, The Villages, FL 32159-6812 | 2006-07-11 |
| 1336119874 | John Joseph Wyland | Family Medicine | The Villages Va Outpatient Clinic, 8900 Se 165th Mulberry Ln, The Villages, FL 32162 | 2006-01-26 |
| 1962489427 | Darrell Pugh | Family Medicine | 1950 Laurel Manor Dr Ste 210, The Villages, FL 32162-5602 | 2005-12-27 |
| 1700877362 | Paul L Daluga Jr. | Family Medicine | 8877 Se 165th Mulberry Lane, The Villages, FL 32162-1039 | 2005-11-02 |
| 1487647764 | Joseph Carl Hildner | Family Medicine | 1050 Old Camp Rd, The Villages, FL 32162-1762 | 2005-08-23 |
| 1396747978 | Nilkhanth B Purohit | Family Medicine | 8485 Se 165th Mulberry Ln, The Villages, FL 32162-5847 | 2005-08-12 |
| 1497756878 | Frank James Melidona | Family Medicine | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2005-08-09 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
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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.