Deborah Green, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24133 Issued in CO

Practice address

315 Park Ave
Fort Lupton, CO 80621-1929

Phone

(303) 857-6111

Fax

(303) 857-2459

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seasons Medical Group of Colorado, PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Westminster, CO
  • NPI 1649707332

  CO

  Medicare reassignment NPD
• Seasons Hospice & Palliative Care of Colorado LLC

  • Community Based Hospice Care Agency
  • Westminster, CO
  • NPI 1366816027

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1063446334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PARK AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211929",
            "telephone_number": "303-857-6111",
            "fax_number": "303-857-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PARK AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211929",
            "telephone_number": "303-857-6111",
            "fax_number": "303-857-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "24133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN",
            "identifier": "010022980",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01241330",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jannine T. Geist, PT
• Rachel Gillham
• Maria Godfrey, PHARMD
• Susana Gonzalez, LPC; ACD
• Jennifer J Gordon-Norby, MS, PT
• Michelle Gross, M.A., CCC-A
• Elizabeth Gutierrez
• Hands-on Physical Therapy, Inc.
• Susan A Hanson, DH
• George Hartman III, R.PH

• All providers in Fort Lupton, CO
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.