David Green, MD, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D28763 Issued in MD

Legal business name

DAVID GREEN, MD, PA

Practice address

4800 Montgomery LN
#M50
Bethesda, MD 20814-3429

Phone

(301) 907-7250

Fax

(301) 907-7250

NPI assigned

Jan 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David Green, M.D.NPI 1578591723

Title

Medical Director

Phone

(301) 907-7250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Green, M.D.

  • Specialist
  • Bethesda, MD
  • NPI 1578591723

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1053709824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MONTGOMERY LN",
            "address_2": "#M50",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143429",
            "telephone_number": "301-907-7250",
            "fax_number": "301-907-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MONTGOMERY LN",
            "address_2": "#M50",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143429",
            "telephone_number": "301-907-7250",
            "fax_number": "301-907-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GREEN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-907-7250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D28763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twinkle Dave
• William Davenport, PA
• Richard Thomas Davey Jr., M.D.
• Zachary Davey, DO
• David F. Plotsky MD PC
• David S. Ross DDS PC
• Maria Christina David, PHARMD
• Daina Davidson
• Patrick Marcel Davidson
• Alexander Davila, MD

• Dermatology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.