PHILIP DAVID GREEN (NPI# 1003800335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003800335 |
| Entity Type | Individual |
| Full Name | PHILIP DAVID GREEN |
| Credential | MD |
| Practice Address |
1040 Medical Park Ave New Bern NC 28562-5248 |
| Mailing Address |
Po Box 12248 New Bern NC 28561-2248 |
| Practice Telephone | 2526331678 |
| Practice Fax Number | 2526331403 |
| Mailing Telephone | 2525146685 |
| Mailing Fax Number | 2525142745 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2011-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 23705 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 23705 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891036C | 05 | |
| NC | BLUE CROSS | 1036C | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275675027 | Philip Green | Internal Medicine | 177 Ft Washingtn Ave, New York, NY 10032-3733 | 2007-02-12 |
| 1518007582 | Philip P Green | Dentist | 3925 Sw 153rd Dr, Suite #100, Beaverton, OR 97006-4166 | 2007-02-07 |
| 1104867373 | Philip A Green | Emergency Medicine | 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362-2846 | 2006-06-09 |
| Street Address |
1040 MEDICAL PARK AVE |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528050424 | Luke A Elliott | Family Medicine | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2005-08-17 |
| 1851912299 | Erica Jane Bencivenga | Registered Nurse | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2020-04-27 |
| 1851948590 | Yvette Clark Moleta | Nurse Practitioner | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2019-08-19 |
| 1346806650 | Sandra Christine Morehouse | Registered Nurse | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2019-05-13 |
| 1528623790 | Coastal Carolina Health Care Pa | Hospitalist | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2019-05-03 |
| 1043749120 | Felicia C Holston | Nurse Practitioner | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2017-06-12 |
| 1790146256 | Lauren Wardrop Miller | Physician Assistant | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2016-03-11 |
| 1619336211 | April L Vandall | Nurse Practitioner | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2016-02-11 |
| 1255710331 | Samuel Jackson Dail | Family Medicine | 1040 Medical Park Ave, New Bern, NC 28562 | 2015-05-22 |
| 1982023941 | Paula Marie Foreman | Physician Assistant | 1040 Medical Park Ave, New Bern, NC 28562 | 2014-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134269038 | Gregory C Risk | Emergency Medicine | 113 Arbon Ln, New Bern, NC 28562-8729 | 2007-02-08 |
| 1508307851 | Melanie Root | Emergency Medicine | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2017-03-19 |
| 1831548940 | Evan Bradler | Emergency Medicine | 2000 Neuse Blvd, New Bern, NC 28560 | 2016-06-09 |
| 1154760437 | Michael J Slisz | Emergency Medicine | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2013-06-19 |
| 1003083304 | Rebecca Saenz Dubay | Emergency Medicine | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2008-05-15 |
| 1649494766 | Carol J Breneman | Emergency Medicine | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2007-04-12 |
| 1508998790 | Gary T Whitlock | Emergency Medicine | 1309 Tatum Dr, New Bern, NC 28560-4314 | 2007-03-12 |
| 1679613574 | Keith G Harpe | Emergency Medicine | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2007-02-08 |
| 1588704480 | Kevin C Geer | Emergency Medicine | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2007-02-08 |
| 1396885299 | Jeffrey S Kiefer | Emergency Medicine | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2007-02-08 |
| Find all providers in NEW BERN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.