Richard D. Green, MD, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2373A Issued in WY

Legal business name

RICHARD D. GREEN, MD, PC

Practice address

940 E 3Rd St Ste 102
Casper, WY 82601-3200

Phone

(307) 577-4280

Fax

(307) 577-4283

NPI assigned

Jul 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Richard Dewar Green, M.D.

Title

Owner

Phone

(307) 577-4280

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1508249947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013200",
            "telephone_number": "307-577-4280",
            "fax_number": "307-577-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013200",
            "telephone_number": "307-577-4280",
            "fax_number": "307-577-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D. GREEN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DEWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-577-4280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "2373A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106467300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathon Reynolds, DO
• Jeffrey Rhea, MD
• Devin Rhoades, DNP, RN, CPNP-PC
• Tiffany Rich
• Victoria Elizabeth Rich, DO
• Jack Vernon Richard, M.D.
• Alec Richards
• Crystal Renee Richards
• Michael Dallin Richards
• Brianne Richardson

• Pediatrics Physician in Casper, WY
• Providers in Casper, WY by specialty
• Pediatrics Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.