NPIMap

Organization Active NPI

Jeffrey E. Green

  • Health Service Clinic/Center
  • Potomac, MD
National Provider Identifier
1083000939
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
D0031283 Issued in MD
Legal business name
JEFFREY E. GREEN
Practice address
10600 Tanager LN
Potomac, MD 20854-6316
Phone
(301) 332-0467
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Jeffrey GreenNPI 1497246649
Title
Provider
Phone
(301) 332-0467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X D0031283 MD Primary

Addresses

Primary practice location

10600 Tanager LN
Potomac, MD 20854-6316

Mailing address

10600 Tanager LN
Potomac, MD 20854-6316
Phone (301) 332-0467

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1083000939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 TANAGER LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546316",
            "telephone_number": "301-332-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 TANAGER LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546316",
            "telephone_number": "301-332-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY E. GREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-332-0467"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "D0031283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.