John J Green DO PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS 8155 Issued in FL

Legal business name

JOHN J GREEN DO PA

Doing business as

Internal Medicine and General Practice

Practice address

14131 Metropolis Avenue
Suite 104
Fort Myers, FL 33912-4336

Phone

(239) 332-4099

Fax

(239) 332-4088

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Justin Green, D.O.

Title

President

Phone

(239) 332-4099

Specialties & licenses 1

Addresses

Other names 1

• Internal Medicine and General Practice Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12970/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason P Farah, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1275308157
  NPD (past)
• Rosa Lia Zapata, MD

  • General Practice Physician
  • Fort Myers, FL
  • NPI 1972151876
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1336353135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15880 SUMMERLIN RD",
            "address_2": "PMB 207",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089612",
            "telephone_number": "239-332-4099",
            "fax_number": "239-332-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 METROPOLIS AVENUE",
            "address_2": "SUITE 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124336",
            "telephone_number": "239-332-4099",
            "fax_number": "239-332-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J GREEN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-332-4099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS 8155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine and General Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jo Ann Agress, PHD, PLLC
• Rithly Joachim
• Joanne Dental LLC
• John D Ritrosky MD PA
• John D Strausbaugh DO PA
• John Michael Poirier PA
• John R. Ellis Massage, Inc.
• John S. Bruno, M.D., P.a.
• Johner Therapy Inc
• Caroline Johns, M.D

• Internal Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.