James Green, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

89-205 Issued in NM

Practice address

1631 Hospital Dr # 150
Santa Fe, NM 87505

Phone

(505) 988-2215

Fax

(505) 984-0373

NPI assigned

Aug 25, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jgreen164858@direct.tmfhs.org

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1376650002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 HOSPITAL DR # 150",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054728",
            "telephone_number": "505-988-2215",
            "fax_number": "505-984-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 HOSPITAL DR # 150",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-988-2215",
            "fax_number": "505-984-0373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490A W Zia Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875057007",
            "country_code": "US",
            "telephone_number": "505-913-3101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1631 Hospital Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875057691",
            "country_code": "US",
            "telephone_number": "505-913-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NM",
            "license": "89-205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "800521003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Jeremy Gray
• Elizabeth Lynn Gray, M.A., M.P.H.
• GRD Health Clinic Inc
• Eugenia Harris Greco
• Green Cliff Counseling, LLC
• John A Green III, MD
• Melissa Green
• Patricia Ellen Green, MA ., LPCC
• Paula Danette Green, MS, LCPC
• Sean Green

• All providers in Santa Fe, NM
• Plastic Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.