Frederick N. Green, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD14515 Issued in OR

Practice address

3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514

Phone

(541) 485-2777

Fax

(541) 246-2353

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1669497756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70368",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974750120",
            "telephone_number": "541-485-2777",
            "fax_number": "541-246-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MARTIN LUTHER KING JR PKWY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777514",
            "telephone_number": "541-485-2777",
            "fax_number": "541-246-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "FREDERICK",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD14515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124297",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsee Graves
• Kimberly M Gray, LPN
• Tammy Gray
• Kyle Michael Grech
• Marika Greeley
• Judith M. Green, LCSW
• Kellie Green, R.D.H.
• Dexter Gregg, MD
• Catherine A Grenier, MD
• Marin Eleanor Grey, CHW

• Obstetrics & Gynecology Physician in Springfield, OR
• Providers in Springfield, OR by specialty
• Obstetrics & Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.