Benjamin Green MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BENJAMIN GREEN MD INC

Practice address

9245 Laguna Springs Dr
Suite 200
Elk Grove, CA 95758-7987

Phone

(206) 624-6050

Fax

(206) 838-3085

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Benjamin Michael Green, MD

Title

Owner

Phone

(206) 914-2389

Specialties & licenses 1

Addresses

Other names 1

• Carena Medical Providers CA Other name

Locations

Practitioners 3

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

• Kaitlin Michelle Brasier, D.N.P., A.R.N.P., RN

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1003136623
  NPD (past)
• Glenda Jean Clemens, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1124036348
  NPD (past)
• Frances Marie Gough, M.D.

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1992909188
  NPD (past)

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1114299740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 4TH AVE",
            "address_2": "SUITE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011607",
            "telephone_number": "206-838-6856",
            "fax_number": "206-838-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 LAGUNA SPRINGS DR",
            "address_2": "SUITE 200",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587987",
            "telephone_number": "206-624-6050",
            "fax_number": "206-838-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN GREEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-914-2389",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carena Medical Providers CA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angelina Beltran
• Catherine Beltran
• Charles Alfred Benavidez Sr., DDS
• Kristine Benedict
• Maridel Francisco Benigno, RDHAP
• Shanice Benjamin
• Deandre Kian Bennett
• Elizabeth Benson
• Kimberly Benson
• Caroline Bentley

• Family Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.