Richard J Green MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD029508E Issued in PA

Legal business name

RICHARD J GREEN MD PC

Practice address

213 Vine St
Johnstown, PA 15901-1518

Phone

(814) 535-5841

Fax

(814) 539-3424

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Joseph Green III, MDNPI 1215049762

Title

Doctor

Phone

(814) 535-5841

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Joseph Green III, M.D.

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1215049762
  Authorized official Same address or phone

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1063693828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 VINE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011518",
            "telephone_number": "814-535-5841",
            "fax_number": "814-539-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 VINE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011518",
            "telephone_number": "814-535-5841",
            "fax_number": "814-539-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J GREEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "814-535-5841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD029508E",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD029508E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.