Roger Elliott Green (NPI# 1215917968, PAC ID# 2163567249) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1215917968 |
| PAC ID by PECOS | 2163567249 |
| Professional Enrollment ID | I20100301000145 |
| Full Name | Roger Elliott Green |
| Organization Legal Name | GREEN DERMATOLOGIC MEDICAL GROUP A MEDICAL CORPORATION |
| Address |
657 Camino De Los Mares Suite 242 San Clemente CA 92673-2811 |
| Phone Number | 9494966066 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4688612161 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 657 Camino De Los Mares, Suite 242, San Clemente, CA 92673-2811 | 9494966066 | GREEN DERMATOLOGIC MEDICAL GROUP A MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% |
| Organization Legal Name | GREEN DERMATOLOGIC MEDICAL GROUP A MEDICAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rollin M Green | Dermatology | Green Dermatologic Medical Group A Medical Corporation | 24411 Health Ctr Dr, Suite 520, Laguna Hills, CA 92653-3633 |
| Street Address |
657 CAMINO DE LOS MARES SUITE 242 |
| City | SAN CLEMENTE |
| State | CA |
| Zip | 92673-2811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara M Thomas | Psychologist, Clinical | 657 Camino De Los Mares, Suite 241, San Clemente, CA 92673-2811 | |
| Ronald S Saltzman | Internal Medicine | 657 Camino De Los Mares, Suite 135, San Clemente, CA 92673-2810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William L Van Der Reis | Orthopedic Surgery | 653 Camino De Las Mares, Suite 109, Sam Clemente, CA 92673 | |
| Sandra K Wong | Physical Therapy | 660 Camino De Los Mares, San Clemente, CA 92673-1800 | |
| Jeffrey Felgner | Family Practice | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Bella Darji | Nurse Practitioner | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Holly K Finley | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| David W Reenders | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Megan E Parent | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Sonia D Armbruster | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Maren T George | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Burton Leland Wagner | Chiropractic | 647 Camino De Los Mares, Suite 220, San Clemente, CA 92673-2807 | |
| Find all physicians in zip 92673 | |||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
| Specialty | DERMATOLOGY |
| City + Specialty | SAN CLEMENTE + DERMATOLOGY |
Please comment or provide details below to improve the information on Roger Elliott Green.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.