Margaret Cecilia Green, D.O.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

0102207964 Issued in VA

Practice address

620 John Paul Jones Cir BLDG 3
Portsmouth, VA 23708-2111

Phone

(757) 953-0307

NPI assigned

Jun 19, 2013

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

Medicare fee-for-service enrollment

Enrolled in CA, MD, DC3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• C L Kauffman MD PLLC

  dba Georgetown Dermpath

  • Dermatopathology (Pathology) Physician
  • Washington, DC
  • NPI 1982853826

  MD

  Medicare reassignment NPD
• Yucca Valley Urgent Care, Inc.

  dba Avalon Urgent Care

  • Urgent Care Clinic/Center
  • Yucca Valley, CA
  • NPI 1518381367
  Medicare reassignment NPD
• Mohs and Skin Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lutherville, MD
  • NPI 1124492996
  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1477992881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10718 PHEASANT DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208718523",
            "telephone_number": "843-343-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR BLDG 3",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARGARET",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MD",
            "license": "H0090997",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "VA",
            "license": "0102207964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yatia Laque Graves
• Beverly Ann Gray-Britt, MA; LMHP-R
• Kaley M Gray, MD, AU.D.
• Greater Passage LLC
• Andrew Green
• Mary Green, DO
• Maxine Cecilia Green, LCSW
• Roosevely T Green Jr., DDS
• Sandy Charles Green Jr., IDHS
• Tania Green, LPC

• Dermatopathology Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Dermatopathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.