Active NPI
David Emanuel Green, M.D.
- Pulmonary Disease Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2007-01734
- Practice address
- 1202 Medical Center Dr
Wilmington, NC 28401-7307 - Phone
- (910) 341-3300
- Fax
- (910) 251-8824
- NPI assigned
- Jul 3, 2006
- Last updated
- Aug 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101236921 | VA | |
| Pulmonary Disease Physician | 207RP1001X | 2007-01734 | NC | Primary |
Addresses
Primary practice location
1202 Medical Center Dr
Wilmington, NC 28401-7307
Mailing address
1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 341-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87834596 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
1222 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
5211 S College Rd
Wilmington, NC 28412-2209
Phone (910) 341-1540
6781 Parker Farm Dr
Suite 200
Wilmington, NC 28405-3161
Phone (910) 341-1540
8064 Market St
Wilmington, NC 28411-9384
Phone (910) 341-1540
8068 Market St
Wilmington, NC 28411-9384
Phone (910) 796-7767
8090 Market St
Wilmington, NC 28411-9384
Phone (910) 341-1540
9101 Ocean Hwy E
Leland, NC 28451-7867
Phone (910) 341-1540
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
- Novant Health Brunswick Medical Center
- J Arthur Dosher Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.96 of 100
- Quality
- 89.56
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 83.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101236921 | VA | MD | Internal Medicine Physician |
| 2007-01734 | NC | MD | Pulmonary Disease Physician |
| 01734 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wha Medical Clinic PLLC | Current | Accepting new patients | |
| Wilmington Health PLLC | Current | Accepting new patients | |
| Wilmington ASC LLC | Current | Accepting new patients | |
| Wilmington Health PLLC | Current | Accepting new patients | |
| DHHS,PHS,Naihs,Gallup Indian Medical Center | Past | Accepting new patients | |
| DHHS,PHS,Naihs,Gallup Indian Medical Center | Past | Accepting new patients | |
| Gallup Indian Medical Center | Past | Accepting new patients | |
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Past | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Past | Accepting new patients |
Locations
1300 Bridge Barrier Rd
Ste 2
Carolina Beach, NC 28428
Phone (910) 458-4101
1333 S Dickinson Dr
Leland, NC 28451
Phone (910) 332-0241
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
8108 Market St
#B
Wilmington, NC 28411
Phone (910) 686-2099
Interoperability endpoints
- david.green.p1@direct.wilmingtonhealth.nextgenshare.com
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
-
- Endoscopy Clinic/Center
- Wilmington, NC
- NPI 1083889091
-
dba Wilmington Health Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Wilmington, NC
- NPI 1548456478
-
- Specialist
- Wilmington, NC
- NPI 1396911152
-
dba Novant Health New Hanover Wound Care and Hyperbaric Medicine Profee
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
-
dba Tohatchi Health Center
- Federal Public Health Clinic/Center
- Tohatchi, NM
- NPI 1902875594
-
dba McKinley Manor
- Skilled Nursing Facility
- Gallup, NM
- NPI 1215106935
-
dba Little Sisters Of The Poor of New Mexico, Inc.
- Assisted Living Facility
- Gallup, NM
- NPI 1326217043
-
- Dental Clinic/Center
- Gallup, NM
- NPI 1740452697
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Brunswick Medical Center
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
dba Dosher Wellness Center
- Rural Health Clinic/Center
- Southport, NC
- NPI 1326589649
Hospital
-
dba Dosher Medical - Oak Island
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
dba Dosher Medical - Bald Head Island
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
dba Dosher Medical - Long Beach Road
- Rural Health Clinic/Center
- Southport, NC
- NPI 1568887818
Hospital
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1952331340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-341-3300",
"fax_number": "910-251-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-341-3300",
"fax_number": "910-251-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "DAVID",
"middle_name": "EMANUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101236921",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "2007-01734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87834596",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.