Susan Mary Green, M. D. M.P.H.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

6309 Issued in RI

Practice address

333 Valley Rd
Middletown, RI 02842-7230

Phone

(401) 619-1540

Fax

(401) 619-1690

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Susan Green Gregoire Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1023147667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427230",
            "telephone_number": "401-619-1540",
            "fax_number": "401-619-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427230",
            "telephone_number": "401-619-1540",
            "fax_number": "401-619-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M. D. M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "6309",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "RI",
            "license": "6309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GREGOIRE",
            "middle_name": "GREEN",
            "prefix": "DR.",
            "credential": "MD MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Debra Graham, PTA
• Ephraim Graham, PT
• Heather Graham, LCSW
• Angela Granata, IBCLC
• Marisa Green
• Lauren B Gregarczyk, LCDP
• Joy Gosselin Griswold, LICSW
• Michael Joseph Gunning, MSW, LCSW
• Lina Ann Hall, APRN-CNP, FNP-C
• Nancy Carol Hallman, LICSW

• Occupational Medicine Physician in Middletown, RI
• Providers in Middletown, RI by specialty
• Occupational Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.