Organization Active NPI

The Green Medical Center

  • Family Medicine Physician
  • Uniontown, OH
National Provider Identifier
1235451170
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE GREEN MEDICAL CENTER
Practice address
1790 Town Park Blvd
Suite D
Uniontown, OH 44685-7972
Phone
(330) 563-4424
Fax
(330) 563-4429
NPI assigned
Feb 19, 2010
Last updated
Feb 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Janice Mook
Title
Owner
Phone
(330) 563-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1790 Town Park Blvd
Suite D
Uniontown, OH 44685-7972

Mailing address

1790 Town Park Blvd
Suite D
Uniontown, OH 44685-7972
Phone (330) 563-4424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1235451170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 TOWN PARK BLVD",
            "address_2": "SUITE D",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857972",
            "telephone_number": "330-563-4424",
            "fax_number": "330-563-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 TOWN PARK BLVD",
            "address_2": "SUITE D",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857972",
            "telephone_number": "330-563-4424",
            "fax_number": "330-563-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREEN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "MOOK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-563-4424"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.