Barry James Green, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

481 Issued in AR

Practice address

937 Franklin Ave
Lemoore, CA 93246-0001

Phone

(559) 998-2657

NPI assigned

Jan 24, 2006

Last updated

Apr 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Gateway Emergency Physicians, LLP

  • Emergency Medical Services (Emergency Medicine) Physician
  • Neosho, MO
  • NPI 1699108282
  NPD
• Family Medical Walk-in Clinic PA

  dba Rogers Family Medical Walk-in Clinic

  • Urgent Care Clinic/Center
  • Rogers, AR
  • NPI 1376848978
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1922078757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 S PLEASANT ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 FRANKLIN AVE",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932460001",
            "telephone_number": "559-998-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BARRY",
        "middle_name": "JAMES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "18043",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Gobert, ICCS, ICCJP, NCAC-II
• Amy Renee Gonsalves
• Sabrina Gonzalez, LCSW
• George Goodreau
• Louis Humberto Grass III, CRNA
• Leah Miriam Griffin, NP
• Emilian Grigore, PA-C
• Lesley Kobashi Guerra, O.D.
• Robert G Guion, D.O
• Allison Jean Gutierrez, MD

• Physician Assistant in Lemoore, CA
• Providers in Lemoore, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.