Charlotte S. Greene, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1549 Issued in ME

Practice address

15 Hospital Dr
York, ME 03909-1011

Phone

(207) 351-2478

Fax

(207) 351-2216

NPI assigned

Jul 28, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Hospital Group Inc

  dba Jri Physical Medicine

  • Specialist
  • Edison, NJ
  • NPI 1225251754
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1740280031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "address_2": "THEBAUD BUILDING, FOURTH FLOOR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "973-267-2293",
            "fax_number": "973-267-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-2478",
            "fax_number": "207-351-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "CHARLOTTE",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA1549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry Chet Goldstein, RN, BSN,CMSRN
• Stephanie Rebecca Gonsalves, PA-C
• Leslie A. Goulet, OTR/L
• Richard N Gray, MD
• Erin M Graziano, MS CCC-SLP
• Rosemary P Greenwood, L.C.P.C
• Alice Marie Gruba, MSW, MS SCHOOL PSYCH
• David Arthur Hamel, PA-C
• Hampton Valley Health Center, Inc.
• Tara Rose Hanagan, R.PH

• Medical Physician Assistant in York, ME
• Providers in York, ME by specialty
• Medical Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.