Jody Ellen Green, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D0052444 Issued in MD

Practice address

6420 Rockledge Dr
#2500
Bethesda, MD 20817-7837

Phone

(301) 530-9200

Fax

(301) 530-9442

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Center for Neurology & Pain Management LLC

  • Pain Medicine Physician
  • Bethesda, MD
  • NPI 1215051719

  Neurology

  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1154431914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 DURBIN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141011",
            "telephone_number": "301-986-0826",
            "fax_number": "301-986-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 ROCKLEDGE DR",
            "address_2": "#2500",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177837",
            "telephone_number": "301-530-9200",
            "fax_number": "301-530-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JODY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0052444",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "D0052444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Gregory Green, D.D.S.
• David Green, M.D.
• Eric Douglas Green, M.D.
• Gabriela Adelt Green, M.D.
• Gabrielle Ninah Green
• John Green, M.D.
• Kenneth Peter Green, D.M.D.
• Mia Green, C.C.C.
• Richard John Green, D.D.S.
• Shawntel Steptoria Green, RD

• Neurology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.