Active NPI
Michael S Green, M.D.
- Orthopaedic Hand Surgery Physician
- Columbia, SC
National Provider Identifier
1790786267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 13485
- Practice address
- 1910 Blanding St
Columbia, SC 29201-3520 - Phone
- (803) 256-4107
- Fax
- (803) 253-6655
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 13485 | SC | Primary |
Addresses
Primary practice location
1910 Blanding St
Columbia, SC 29201-3520
Mailing address
1910 Blanding St
Columbia, SC 29201-3520
Phone (803) 256-4107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TL4581 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13485 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1790786267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 BLANDING ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013520",
"telephone_number": "803-256-4107",
"fax_number": "803-253-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 BLANDING ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013520",
"telephone_number": "803-256-4107",
"fax_number": "803-253-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "SC",
"license": "13485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TL4581",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.