George E Green MD Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G454410 Issued in CA

Legal business name

GEORGE E GREEN MD INC

Practice address

9460 N Name Uno Ste 110
Gilroy, CA 95020-3536

Phone

(408) 842-4466

Fax

(408) 848-1355

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. George Ellis Green, MDNPI 1811074875

Title

Ceo

Phone

(408) 842-4466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

George E Green MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• George E. Green, MD, Inc

  • Non-Pharmacy Dispensing Site
  • Gilroy, CA
  • NPI 1134470974
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• George E. Green, MD, Inc

  • Non-Pharmacy Dispensing Site
  • Gilroy, CA
  • NPI 1134470974
  NPPES parent name

Practitioners 1

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

• George Ellis Green, M.D

  • Pulmonary Disease Physician
  • Gilroy, CA
  • NPI 1811074875
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1376718940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 110",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203536",
            "telephone_number": "408-842-4466",
            "fax_number": "408-848-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 110",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203536",
            "telephone_number": "408-842-4466",
            "fax_number": "408-848-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E GREEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-842-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G454410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Gasca
• Rudy Jesse Gastelo II
• Tanmayee Gavaskar, M.S. SLP
• Angeline Gayman
• Betsy Gee, MA, CCC-SLP
• George E. Green, MD, Inc
• Carmina Gerringer, M.A.
• Jasmine Gharay
• Sepideh Ghassemian, RPH
• Anushka Ghosh

• Pulmonary Disease Physician in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.