Candace C Green, M.D.
Individual provider Active NPI Obstetrics Physician · Richland, WA
NPI 1154313674 · NPPES record last updated Nov 1, 2016
Key facts
- NPI
- 1154313674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics Physician 207VX0000X
- License
- 4301073070 (MI)
- Practice address
- 2630 N Columbia Center Blvd
Suite B
Richland, WA 99352-4853 - Phone
- (509) 420-5053
- Fax
- (509) 492-5537
- NPI assigned
- Aug 19, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Cities Community Health | Past | Accepting new patients | |
| Carson City Center for Women'S Healthcare PC | Past | Accepting new patients | |
| Fauster Cameron Inc. | Past | Accepting new patients | |
| Tri-Cities Community Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 4301073070 | MI | Yes |
Addresses
Primary practice location
2630 N Columbia Center Blvd
Suite B
Richland, WA 99352-4853
Mailing address
2630 N Columbia Center Blvd
Suite B
Richland, WA 99352-4853
Phone (509) 420-5053
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0700410 | Other | MI | PHP |
| 1605910202 | Other | MI | BCBS |
| 4706065 | Medicaid | MI | |
| 4709343 | Medicaid | MI | |
| 4706056 | Medicaid | MI |
Other names
- Candace C Green
Other providers in Richland, WA
- Vanessa Lee Graves
- Jeffrey Grawe
- Matthew Gray
- Steve Brigham Gray
- Bradley R Green
- Melinda P. Greene
- Gregory a. Oberg, P.S.
- Scott D Grewe
- Valerie Lynn Griffin
- Douglas Edward Griffith
All providers in Richland, WA · Obstetrics Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.