Demetris a. Green, Sr. MD PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DEMETRIS A. GREEN, SR. MD PA

Doing business as

Sirte Med Primary Care

Practice address

2646 S Loop W
Suite 220
Houston, TX 77054-2665

Phone

(713) 808-9658

Fax

(281) 501-3075

NPI assigned

Dec 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Demetris Allen Green Sr., MDNPI 1699973420

Title

Owner/Medical Director

Phone

(713) 808-9658

Specialties & licenses 2

Addresses

Other names 1

• Sirte Med Primary Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Demetris a Green Sr MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Demetris Allen Green MD

  • General Practice Physician
  • Houston, TX
  • NPI 1669609459
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Demetris Allen Green Sr., MD

  • General Practice Physician
  • Houston, TX
  • NPI 1699973420
  NPD (past) Authorized official

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1740678770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W",
            "address_2": "SUITE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542665",
            "telephone_number": "713-808-9658",
            "fax_number": "281-501-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W",
            "address_2": "SUITE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542665",
            "telephone_number": "713-808-9658",
            "fax_number": "281-501-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRIS A. GREEN, SR. MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DEMETRIS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-808-9658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sirte Med Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Curry Demery, R.PH.
• Lashonder Shantell Demery I, LCDC
• Brandy N Demesme-Trosclair
• Demetrio Tagaropules M.D., P.a.
• Sophia Demetriou
• Demetris Allen Green MD
• Krystel Demeza, NP
• Demi'S Lavished Boutique LLC
• Nagi M Demian, D.D.S.
• Diane Louise Deming, FNP

• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.