Active NPI
Linda Diane Green, M.D.
- Allergy & Immunology Physician
- Havertown, PA
National Provider Identifier
1487766952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD020354E
- Practice address
- 850 W Chester Pike
Suite 300
Havertown, PA 19083-4439 - Phone
- (610) 446-4844
- Fax
- (610) 446-3901
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD020354E | PA | Primary |
| Pediatric Allergy/Immunology Physician | 2080P0201X | MD020354E | PA |
Addresses
Primary practice location
850 W Chester Pike
Suite 300
Havertown, PA 19083-4439
Mailing address
850 W Chester Pike
Suite 300
Havertown, PA 19083-4400
Phone (610) 446-4844
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23-2571967 | Other | PA | UNITED HEALTHCARE |
| 0036284000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 232571967 | Other | PA | AETNA |
| 232571967 | Other | PA | GUARDIAN |
| 4577294 | Other | PA | AETNA HMO |
| A92498 | Other | PA | AMERIHEALTH ADMINISTRATOR |
| 5648713 | Other | PA | CIGNA HMO |
| 30102 | Other | PA | KEYSTONE MERCY HEALTH PLA |
| 192498 | Other | PA | BLUE SHIELD |
| 232571967 | Other | PA | HEALTH AMERICA |
| 000844653 | Medicaid | PA | |
| 232571967 | Other | PA | BENEFIT CONCEPTS |
| 232571967 | Other | PA | CIGNA |
| 787324 | Other | PA | FIRST HEALTH |
Other names 1
- Linda D. Green
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1487766952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W CHESTER PIKE",
"address_2": "SUITE 300",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190834400",
"telephone_number": "610-446-4844",
"fax_number": "610-446-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W CHESTER PIKE",
"address_2": "SUITE 300",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190834439",
"telephone_number": "610-446-4844",
"fax_number": "610-446-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "LINDA",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD020354E",
"primary": true
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "PA",
"license": "MD020354E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "23-2571967",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0036284000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "232571967",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN",
"identifier": "232571967",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "4577294",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMINISTRATOR",
"identifier": "A92498",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "5648713",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH PLA",
"identifier": "30102",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "192498",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "232571967",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000844653",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BENEFIT CONCEPTS",
"identifier": "232571967",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "232571967",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "787324",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "GREEN",
"middle_name": "D.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.