Rodney Allan Green, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

35049964 Issued in OH

Practice address

5035 Mayfield Rd
Ste 100
Lyndhurst, OH 44124-2688

Phone

(440) 449-8880

Fax

(440) 449-8640

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Other, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Practitioners 1

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

• Karen Nicole Bird, MA OTRL

  • Occupational Therapist
  • Lyndhurst, OH
  • NPI 1710171152
  Medicare reassignment

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

• Hilltop Ambulatory Surgery Center LLC

  dba Legacy Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lyndhurst, OH
  • NPI 1396077582
  NPD (past) Authorized official
• Legacy Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Lyndhurst, OH
  • NPI 1760741292
  NPD (past) Authorized official
• Rodney Allan Green

  dba Dr. Rodney A. Green M.D. FACS

  • Plastic Surgery Physician
  • Lyndhurst, OH
  • NPI 1932364965
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621123200000",
    "number": "1831280213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18554",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441180554",
            "telephone_number": "440-449-8880",
            "fax_number": "440-449-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 MAYFIELD RD",
            "address_2": "STE 100",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242688",
            "telephone_number": "440-449-8880",
            "fax_number": "440-449-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RODNEY",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35049964",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35049964",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "OH",
            "license": "35049964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0659836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goshen Growth Group, LLC
• Grace Home Healthcare & Services
• Graceful Living Healthcare Services LLC
• Abigail P. Grant, MSW
• Rhonda J Gray, RN
• Beryl Greenberg, LSW
• Mendel Yosef Greenberg
• Greens Nursing and Assisted Living, L.L.C.
• Greens Nursing and Assisted Living, L.L.C.
• Greens Nursing and Assisted Living, LLC (The Greens Nursing and Rehabilitation Center)

• Plastic Surgery Physician in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.