Mary L Green, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

22614 Issued in AZ

Practice address

2005 W Ruthrauff Rd
Suite 111
Tucson, AZ 85705-4864

Phone

(615) 778-4066

NPI assigned

Mar 20, 2007

Last updated

Mar 4, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Physicians Healthcare

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1730141243
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1184749913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200 WEST TOWER",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "800-232-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W RUTHRAUFF RD",
            "address_2": "SUITE 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857054864",
            "telephone_number": "615-778-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AZ",
            "license": "22614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Alicia Green, DPT
• Gary Ronald Green, D.C.
• Jasmine Green, PT, DPT
• Kelly Alissa Green, PHARM.D., PA-C
• Keri A Green, FNP-C
• Michelle Green, LMT
• Miles Anthony Green, SCHOOL PSYCHOLOGIST
• Omar Green, MT
• Randy A Green, DSCPT
• Rhonda Lauren Green, PT

• Occupational Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Occupational Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.