Gregory E. Green Sr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-9104265 Issued in FL

Practice address

2000 NW 119TH St Apt 903
Miami, FL 33167-2746

Phone

(786) 261-5642

NPI assigned

Mar 17, 2009

Sex

Male

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Dr Darnita a Hill DO PA

  • Family Medicine Physician
  • Tamarac, FL
  • NPI 1699914986
  NPD (past)

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1285875534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NW 119TH ST APT 903",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331672746",
            "telephone_number": "786-261-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NW 119TH ST APT 903",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331672746",
            "telephone_number": "786-261-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "GREGORY",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA-9104265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barth Armand Green, M.D.
• Dallas Green, DMS, PA-C
• Damian J Green, MD
• Daniel Green, MD
• Dollie F Green, MD
• Izaskun Green, CRNA, DNP
• Jasper Green, M.A.
• Jennifer Green
• Lorella Green
• Mindy A Green, D.P.T.

• Medical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.