NPIMap

Organization Active NPI

Rodney Allan Green

  • Plastic Surgery Physician
  • Lyndhurst, OH
National Provider Identifier
1932364965
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RODNEY ALLAN GREEN
Doing business as
Dr. Rodney A. Green M.D. FACS
Practice address
5035 Mayfield Rd
Ste 100
Lyndhurst, OH 44124-2688
Phone
(440) 449-8880
Fax
(440) 449-8640
NPI assigned
Jul 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Dr. Rodney Allan Green, M.D.NPI 1831280213
Title
Owner
Phone
(440) 449-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X

Addresses

Primary practice location

5035 Mayfield Rd
Ste 100
Lyndhurst, OH 44124-2688

Mailing address

PO Box 18554
Cleveland Heights, OH 44118-0554
Phone (440) 449-8880

Other identifiers 1

IdentifierTypeStateIssuer
0659836MedicaidOH

Other names 1

  • Dr. Rodney A. Green M.D. FACS Doing business as

National Provider Directory

National Provider Directory

Locations

5035 Mayfield Rd
Ste 100
Lyndhurst, OH 44124
Phone (216) 923-0666

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1932364965",
    "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": {
        "organization_name": "RODNEY ALLAN GREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-449-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0659836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Rodney A. Green M.D. FACS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.