Patrice Green, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0054018 Issued in MD

Practice address

100 E Carroll St
Salisbury, MD 21801

Phone

(410) 546-6400

NPI assigned

Apr 5, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Shore-Bayy Hospitalists Associates

  • Hospitalist Physician
  • Easton, MD
  • NPI 1548618671
  NPD
• Tidalhealth Peninsula Regional, Inc.

  • Family Medicine Physician
  • Salisbury, MD
  • NPI 1184832040

  Internal Medicine

  NPD
• Tidalhealth Peninsula Regional, Inc.

  • Community/Retail Pharmacy
  • Salisbury, MD
  • NPI 1871031559
  NPD
• University of Maryland St. Joseph Medical Group, LLC

  • Surgical Assistant
  • Towson, MD
  • NPI 1053816074
  NPD
• University of Maryland St. Joseph Medical Group, LLC

  • General Practice Physician
  • Towson, MD
  • NPI 1770836785
  NPD
• Memorial Urgent Care Group

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1053364539

  Internal Medicine

  NPD
• Shore Hospitalists Associates P.a.

  • Internal Medicine Physician
  • Easton, MD
  • NPI 1508983362
  NPD (past)
• Union Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
  • NPI 1336163781
  NPD (past)
• Bimc Faculty Practice

  • Neurology Physician
  • New York, NY
  • NPI 1891848461
  NPD (past)
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1346202116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-546-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-5731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PATRICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262685",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217704800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John G Green, M.D.
• Joshua Tess Green, MD
• Joshua Tyler Green, PHARMD
• Lana R Green, P.T.
• Matthew Green, PA-C
• Danita Anne Greene, LPTA
• Greenlake Adult Medical Daycare Services LLC
• Jeffrey T Greenwood, MD
• Greg Felthousen, DDS, Ms, LLC
• Andrea Greiner

• Internal Medicine Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.