Lawrence Green, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

10312 Issued in AZ

Practice address

1815 W Missouri Ave
108
Phoenix, AZ 85015-3047

Phone

(602) 249-0864

Fax

(602) 944-1265

NPI assigned

Aug 29, 2006

Last updated

Dec 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1700995412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 W MISSOURI AVE",
            "address_2": "108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153047",
            "telephone_number": "602-249-0864",
            "fax_number": "602-944-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W MISSOURI AVE",
            "address_2": "108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153047",
            "telephone_number": "602-249-0864",
            "fax_number": "602-944-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "10312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carry L Green, MA LMHP LPC
• Elizabeth Anne Green, MD
• Emma Kaitlyn Green, OTR/L
• Jared Green
• Jessica Green
• Madeline Green, PHARMD
• Martha Green, SLPA
• Mary Francis Green, RN
• Natalie Green, MS, SLP-CCC
• Natalie Elise Green

• Orthopaedic Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.