Organization Active NPI

Rufus Green MD PA

  • Specialist
  • Dallas, TX
National Provider Identifier
1801084181
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H5889 Issued in TX
Legal business name
RUFUS GREEN MD PA
Practice address
9 Medical Pkwy
Plaza 4 307
Dallas, TX 75234-7855
Phone
(972) 243-3368
Fax
(972) 243-5296
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Rose Ann Foley
Title
Office Manager
Phone
(972) 243-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H5889 TX Primary

Addresses

Primary practice location

9 Medical Pkwy
Plaza 4 307
Dallas, TX 75234-7855

Mailing address

9 Medical Pkwy
Plaza 4 Ste 307
Dallas, TX 75234-7855
Phone (972) 243-3368

Other identifiers 2

IdentifierTypeStateIssuer
CH4009OtherTXRAILROAD MEDICARE
033719801MedicaidTX

Other names 1

  • The Urology Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1801084181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY",
            "address_2": "PLAZA 4 STE 307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347855",
            "telephone_number": "972-243-3368",
            "fax_number": "972-243-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY",
            "address_2": "PLAZA 4 307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347855",
            "telephone_number": "972-243-3368",
            "fax_number": "972-243-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUFUS GREEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-243-3368"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H5889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4009",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033719801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Urology Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.