Richard K. Green Jr., M.D.

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

MD00033630 Issued in WA

Practice address

13712 NE 10TH Ave
Vancouver, WA 98685-2628

Phone

(360) 823-0860

Fax

(360) 828-1407

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salmon Creek Plastic Surgery PCGroup PAC ID 7113021478, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgreen@salmoncreek.emadirect.md

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.

• Salmon Creek Plastic Surgery PC

  • Plastic Surgery Physician
  • Vancouver, WA
  • NPI 1831253426

  Plastic and Reconstructive Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Salmon Creek Plastic Surgery PC

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
  • NPI 1588802466

  Plastic and Reconstructive Surgery

  NPD Authorized official
• Longview Surgical Group

  • Surgery Physician
  • Longview, WA
  • NPI 1851307078
  NPD (past)
• Peacehealth

  • Multi-Specialty Clinic/Center
  • Longview, WA
  • NPI 1720056187
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1215935218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821350",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986820030",
            "telephone_number": "360-687-5221",
            "fax_number": "360-666-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13712 NE 10TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852628",
            "telephone_number": "360-823-0860",
            "fax_number": "360-828-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RICHARD",
        "middle_name": "K.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "WA",
            "license": "MD00033630",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD00033630",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8190035",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Alyson Green, M.D.
• Emily Green
• Kelly Green, ARNP
• Melinda K Green
• Mikala Green
• Kelly Greenberg
• Michael A. Greenberg, MD
• Matilda Greene
• Nataliya Vasylivna Greene, RPH
• Nathan W Greene, M.D.

• Surgery of the Hand (Surgery) Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Surgery of the Hand (Surgery) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.