Wesley Edward Green, MD
Individual provider Active NPI Internal Medicine Physician · Turners Falls, MA
NPI 1013074285 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013074285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 55926 (MA)
- Practice address
- 9 Highland Cir
Turners Falls, MA 01376-1912 - Phone
- (412) 863-8719
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55926 | MA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 55926 | MA | Yes |
Addresses
Primary practice location
9 Highland Cir
Turners Falls, MA 01376-1912
Mailing address
9 Highland Cir
Turners Falls, MA 01376-1912
Phone (412) 863-8719
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3010431 | Medicaid | MA |
Other providers in Turners Falls, MA
- Franklin County Technical School
- Wayne A Gavryck
- Layth A. Ghanim
- Gill-Montague Regional School District
- Debra Nadine Graham
- Jessie Anna Groneman
- James A Grubman
- Judith H Haupt
- Wayne Hioe
- Brendan John Houlihan
All providers in Turners Falls, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.