Agnes P Green, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME92890 Issued in FL

Practice address

7315 Hudson Ave
Hudson, FL 34667-1158

Phone

(727) 868-9563

Fax

(727) 869-6909

NPI assigned

Jan 10, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• American Medical Care

  • Anesthesiology Physician
  • Hudson, FL
  • NPI 1689785727
  NPD (past)
• Tampa Pain Relief Center, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
  • NPI 1871543751
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316096167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5477",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346745477",
            "telephone_number": "727-868-9563",
            "fax_number": "727-869-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 HUDSON AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671158",
            "telephone_number": "727-868-9563",
            "fax_number": "727-869-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AGNES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME92890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "ME92890",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "16663",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muna Goyal, M.D
• Rajiva Goyal, M.D.
• Stephanie Grant, MD
• Troi Graves, DO STUDENT
• Green Acres
• Jane Griggs
• Scott D Grimm, PAC
• Qin Gu
• Christina Guida, ATC, LAT
• Gulf Coast Kidney Center Inc (Physicians Dialysis Hudson)

• Anesthesiology Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.