Henry L Green MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

21840 Issued in MI

Legal business name

HENRY L GREEN MD PC

Doing business as

Southfield Cardiovascular Associates

Practice address

22255 Greenfield
Suite 231
Southfield, MI 48075-3728

Phone

(248) 569-0122

Fax

(248) 569-3758

NPI assigned

Nov 7, 2007

Last updated

Jul 9, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

HENRY L GREEN MD PCAs reported in NPPES

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

Authorized official

Name

Dr. Henry L Green, MD

Title

MD/President

Phone

(248) 569-0122

Specialties & licenses 1

Addresses

Other names 1

• Southfield Cardiovascular Associates Doing business as

Part of

Henry L Green MD PC

Locations

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1104006105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD",
            "address_2": "SUITE 231",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753728",
            "telephone_number": "248-569-0122",
            "fax_number": "248-569-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD",
            "address_2": "SUITE 231",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753728",
            "telephone_number": "248-569-0122",
            "fax_number": "248-569-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY L GREEN MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY L GREEN MD PC",
        "enumeration_date": "2007-11-07",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "248-569-0122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "21840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southfield Cardiovascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Ford Health Providence Hospital (Henry Ford Providence Hospital)
• Henry Ford Health System (Henry Ford Home Infusion)
• Henry Ford Health System (Henry Ford Health Products)
• Henry Ford Physician Partners (HENRY FORD PHYSICIAN PARTNERS Great Lakes Office Group)
• Henry Ford Southeast Michigan Community Health (Henry Ford Community Health)
• Denisha Henry
• Ryleigh Henry
• Henry's Homes
• Lauren Henson
• Talia Herberg

• Cardiovascular Disease Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.