Stephen Tyler Green, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

327285 Issued in LA

Practice address

1111 Medical Center Blvd Ste N707
Marrero, LA 70072-3158

Phone

(504) 934-8550

NPI assigned

Dec 28, 2012

Sex

Male

Sole proprietor

No

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 LA

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

Otolaryngology

Education

Mercer University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WJH Physician ServicesGroup PAC ID 0941510986, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039
• Touro Infirmary Hospital, New Orleans, LA, CCN 190046

Merit-based Incentive Payment System (MIPS)

Final score

85.01 of 100Reported as group

Quality

80.35

Improvement activities

40

Cost

79.52

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• WJH Physician Services

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1417966193
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Touro Infirmary

  • Rehabilitation Hospital Unit
  • New Orleans, LA
  • NPI 1588817878
  Care Compare affiliation
• Touro Infirmary

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1821098286
  Care Compare affiliation
• West Jefferson Holdings, LLC

  dba West Jefferson Medical Center

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644
  Care Compare affiliation

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1285970830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-349-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD STE N707",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723158",
            "telephone_number": "504-934-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "993 Muirfield Dr",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300682643",
            "country_code": "US",
            "telephone_number": "770-815-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "STEPHEN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-28",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "327285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412914",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Gray
• Greater New Orleans Eye Care LLC
• Greater New Orleans Eye Care LLC-Westbank
• Bradley Nobile Greco, LOTR
• Green Holistic Recovery, LLC
• Lila Brooke Greenwalt, RN
• Holly Gregg
• Clementine Griffin, LMSW
• William Griffin, PHARMD
• Jake Andrew Grill, DDS

• Otolaryngology Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.