Active NPI
Evergreen Womens Health Care PLLC
- Obstetrics & Gynecology Physician
- Nashua, NH
National Provider Identifier
1891754974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- EVERGREEN WOMENS HEALTH CARE PLLC
- Practice address
- 280 Main St
Suite 131
Nashua, NH 03060-2919 - Phone
- (603) 882-0555
- Fax
- (603) 882-0360
- NPI assigned
- Mar 19, 2006
- Last updated
- Sep 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan J Green, M.D.
- Title
- Owner
- Phone
- (603) 882-0555
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary | |
| Reproductive Endocrinology Physician | 207VE0102X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | ||
| Women's Health Nurse Practitioner | 363LW0102X | NU | ||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | NU |
Addresses
Primary practice location
280 Main St
Suite 131
Nashua, NH 03060-2919
Mailing address
280 Main St
Suite 131
Nashua, NH 03060-2919
Phone (603) 882-0555
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M18351 | Other | MA | BCBSMA |
| 701468000 | Other | NH | MAGELLAN BEHAVIORAL |
| 30212533 | Medicaid | NH | |
| 30D1022401 | Other | NH | CLIA |
| 3407428 | Other | NH | AETNA HEALTHCARE |
| 80031 | Other | NH | HEALTHSOURCE |
| 696747 | Other | MA | TUFTS HEALTH PLAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Nashua, NH
- NPI 1639139942
-
- Psychiatric/Mental Health Nurse Practitioner
- Bedford, NH
- NPI 1326007683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254096000000",
"number": "1891754974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MAIN ST",
"address_2": "SUITE 131",
"city": "NASHUA",
"state": "NH",
"postal_code": "030602919",
"telephone_number": "603-882-0555",
"fax_number": "603-882-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MAIN ST",
"address_2": "SUITE 131",
"city": "NASHUA",
"state": "NH",
"postal_code": "030602919",
"telephone_number": "603-882-0555",
"fax_number": "603-882-0360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN WOMENS HEALTH CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-19",
"last_updated": "2009-09-28",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-882-0555",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "M18351",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL",
"identifier": "701468000",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30212533",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "30D1022401",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "3407428",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "80031",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "696747",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.