Sandra D. Green, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

41906 Issued in KY

Practice address

2505 Larkin Rd Ste 103
Lexington, KY 40503-3256

Phone

(859) 600-1999

Fax

(859) 600-1998

NPI assigned

Jul 27, 2008

Sex

Female

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

Enrolled in KY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Westside Pediatrics PSC

  • Pediatrics Physician
  • Lexington, KY
  • NPI 1922155407
  Medicare reassignment NPD
• Corner Pediatrics, PSC

  • Pediatrics Physician
  • Lexington, KY
  • NPI 1184382525
  NPD Authorized official
• Commonwealth Pediatrics, PSC

  • Pediatrics Physician
  • Lexington, KY
  • NPI 1982795431
  NPD (past)
• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  NPD (past)

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

{
    "created_epoch": "1217116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1700041977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LARKIN RD STE 103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033256",
            "telephone_number": "859-339-8088",
            "fax_number": "859-600-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LARKIN RD STE 103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033256",
            "telephone_number": "859-600-1999",
            "fax_number": "859-600-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SANDRA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-27",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "41906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100104650",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Green, LCSW
• John Morris Green, D.O.
• Kimmerle T Green, BCBA
• Marrisha Jenae Green, LPCA
• Nathan Sosaia Green, DMD
• Sharon Middleton Green, LCSW
• Travis Green, D.M.D.
• Richard Neil Greenberg, MD
• Greene Respiratory Services, Inc
• Andrew Todd Greene, DO

• Pediatrics Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.