Ed Green Electric Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ED GREEN ELECTRIC INC

Practice address

406 W 2ND St
Logan, OH 43138-1654

Phone

(740) 385-8624

Fax

(740) 385-0024

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew A Green

Title

Coo

Phone

(740) 385-8624

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1689242505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431380026",
            "telephone_number": "740-385-8624",
            "fax_number": "740-385-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W 2ND ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381654",
            "telephone_number": "740-385-8624",
            "fax_number": "740-385-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED GREEN ELECTRIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "740-385-8624"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF COMMERCE",
            "identifier": "24618",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LOGAN",
            "affiliation": "N",
            "address_1": "406 W 2nd St",
            "city": "Logan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431381654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Downs Davis, CNP
• Lindsay Downs
• Angela Nicole Draper
• Dona Dunkin-Alba, DO
• Karrolleann N Dusek
• Nicole K Egger, CDCA
• Debra Jo Elliott, MSN, CPNP, CHEP
• Embassy Logan, LLC
• Eriksten, LLC. (Carlin House Assisted Living)
• Dawn C Evans, LISW

• Customized Equipment (DME) in Logan, OH
• Providers in Logan, OH by specialty
• Customized Equipment (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.