David Lynn Green, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

231635 Issued in TX

Practice address

1502 E 17TH St
Sweetwater, TX 79556-1734

Phone

(325) 235-4457

Fax

(325) 235-0170

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Rolling Plains Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Sweetwater, TX
  • NPI 1427171115
  Medicare reassignment NPD
• Rolling Plains Memorial Hospital

  • Emergency Medicine Physician
  • Sweetwater, TX
  • NPI 1992517171
  NPD
• Mitchell County Hospital District

  dba Kristi Lee Manor

  • Skilled Nursing Facility
  • Colorado City, TX
  • NPI 1770989535
  NPD (past)
• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1124139571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 INTERNATIONAL PLAZA",
            "address_2": "SUITE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-334-0530",
            "fax_number": "817-877-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E 17TH ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795561734",
            "telephone_number": "325-235-4457",
            "fax_number": "325-235-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DAVID",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "231635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy D Gleaton, OT
• Cheryl Goodson, PT
• Shelby Lanell Gotcher
• Alyssa Nabarrette Graniczny, M.S.CCC SLP
• Taylor Grantham, M.ED., CCC-SLP
• Cory Justin Hall, LMFT-S, LCDC
• Sue D Hallman, LDT
• Samantha Hartshorn, M.S, CCC-SLP
• Christine Marie Heady, RN, FNP-BC
• Hendrick Southwestern Health Development Corporation (Hendrick Medical Supply)

• Anesthesiology Physician in Sweetwater, TX
• Providers in Sweetwater, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.