DR. DANIEL MICHAEL GREEN (NPI# 1932105806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932105806 |
| Entity Type | Individual |
| Full Name | DR. DANIEL MICHAEL GREEN |
| Credential | MD |
| Practice Address |
262 Danny Thomas Pl Mail Stop 735 Memphis TN 38105-3678 |
| Practice Telephone | 9015955915 |
| Mailing Telephone | 9015955915 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2011-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MD0000042775 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5442221 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053940098 | Daniel Green | Social Worker | 100 Oceangate Ste 610, Long Beach, CA 90802-4365 | 2020-04-02 |
| 1972959674 | Daniel Green | Dentist | 4359 Keystone Dr, Maumee, OH 43537-8709 | 2016-05-11 |
| 1861731200 | Daniel Green | Technician, Other | 1609 Tarleton St, Spring Valley, CA 91977-3741 | 2013-02-05 |
| 1609135573 | Daniel A Green | Pathology | 622 W 168th St Dept Of, New York, NY 10032-3720 | 2012-05-11 |
| 1699048108 | Daniel Cameron Green | Rehabilitation Practitioner | 8168 Anchor Point Dr, Reno, NV 89506-3109 | 2012-02-14 |
| 1790929230 | Daniel R Green | Internal Medicine | Upstate Cardiology, 2 Innovation Drive, Ste 400, Greenville, SC 29607-5270 | 2009-04-28 |
| 1932342094 | Daniel Luther Green IIi | Military Health Care Provider | 1 Norad Rd, Colorado Springs, CO 80914-6001 | 2009-04-19 |
| 1447454988 | Daniel James Green | Dentist | Pa Route 313, Suite 105, Fountainville, PA 18923-0175 | 2007-06-11 |
| 1790716660 | Daniel Green | Emergency Medicine | 3101 Sw 62 Avenue, Miami, FL 33155 | 2006-07-06 |
| 1508835372 | Daniel Green | Obstetrics & Gynecology | 15709 Yeoho Rd, Sparks, MD 21152-9620 | 2006-03-15 |
| Street Address |
262 DANNY THOMAS PL MAIL STOP 735 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-3678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495889 | Melissa M Hudson | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-05-23 |
| 1023618907 | James Michael Burgess | Registered Nurse | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-10-29 |
| 1669098273 | Cassandra Gerhart | Nurse Anesthetist, Certified Registered | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-06-19 |
| 1275152589 | Katherine Farabee Bailey | Registered Nurse | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-04-16 |
| 1144851858 | Chs Tennessee Medical P C | Clinic/Center | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-31 |
| 1285274639 | Alise Murray | Genetic Counselor, MS | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-14 |
| 1053951566 | Mary Margaret Benson | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-13 |
| 1164062071 | Erma Louise Davis | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-08 |
| 1821637216 | Heather Gaye Havens | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-02 |
| 1811534837 | Cody Elizabeth Mcmillan | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2019-12-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
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| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235438698 | Mireya Paulina Velasquez | Pediatrics | 262 Danny Thomas Pl # Ms 310, Memphis, TN 38105-3678 | 2011-03-23 |
| 1003089590 | Michael William Bishop | Pediatrics | 262 Danny Thomas Pl # Ms 260, Memphis, TN 38105-3678 | 2008-04-07 |
| 1861495889 | Melissa M Hudson | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-05-23 |
| 1467455592 | Rupert Handgretinger | Pediatrics | St. Jude Children's Research Hospital, 332 N Lauderdale St., Ms 0515, Memphis, TN 38105-2794 | 2005-05-23 |
| 1114493095 | Gina Marie Norman | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2018-10-18 |
| 1306335088 | St Jude Children's Research Hospital, Inc. | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2018-05-08 |
| 1023535275 | Pak Yin Anthony Liu | Pediatrics | 262 Danny Thomas Place, Memphis, TN 38105 | 2017-08-29 |
| 1043651318 | Andrea Joan Cuviello | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2013-07-15 |
| 1447591912 | Alia Zaidi | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105 | 2013-03-08 |
| 1043575582 | Catherine Lam | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2012-07-11 |
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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.