JESSICA GREEN (NPI# 1023458700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023458700 |
| Entity Type | Individual |
| Full Name | JESSICA GREEN |
| Practice Address |
888 S King St Honolulu HI 96813-3097 |
| Practice Telephone | 8085224469 |
| Mailing Telephone | 8085224469 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD-21050 | HI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 303 Parkway Dr Ne, Atlanta, GA 303121212 | 4042654411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780108670 | Jessica J Green | Speech-Language Pathologist | 3021 Hickory St, Saint Louis, MO 63104-1818 | 2017-08-01 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1972976223 | Jessica Green | Dietitian, Registered | 1424 Freshwater Ct, Wake Forest, NC 27587-6262 | 2015-11-09 |
| 1215352901 | Jessica Green | Obstetrics & Gynecology | 2700 Sorority Ln, Holt, MI 48842-8744 | 2014-03-04 |
| 1336487818 | Jessica Marie Green | Massage Therapist | 236 Wayne St, Sandusky, OH 44870-2637 | 2013-01-17 |
| 1073861571 | Jessica Erin Green | Pharmacist | 969 Miles Rd, Lufkin, TX 75901-2119 | 2012-08-15 |
| 1114247590 | Jessica M Green | Counselor | 301 Robb St, Summit, MS 39666-7053 | 2010-06-08 |
| 1669610069 | Jessica Green | Speech-Language Pathologist | 6161 S 33rd West Ave Ste 105, Tulsa, OK 74132-1502 | 2009-01-23 |
| 1417108218 | Jessica P Green | Behavioral Analyst | 1659 E Draper Cir, Mesa, AZ 85203-6628 | 2008-10-10 |
| 1821283078 | Jessica Green | Student in an Organized Health Care Education/Training Program | 5124 Sw View Point Ter, Portland, OR 97239-3908 | 2007-09-11 |
| Street Address |
888 S KING ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-3097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114917176 | Ted A Tobey | Internal Medicine | 888 S King St, Straub Endocrinology Department, Honolulu, HI 96813-3097 | 2005-10-21 |
| 1578175642 | Heather Marie Postema | Nurse Practitioner | 888 S King St, Honolulu, HI 96813-3097 | 2020-08-20 |
| 1013530484 | Scott T Yokota | Physical Therapist | 888 S King St, Honolulu, HI 96813-3097 | 2020-05-20 |
| 1386265429 | Lisa Sonoko Soyejima-nordstrom | Speech-Language Pathologist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-29 |
| 1265053458 | Annemaire Suzu Hashimoto | Speech-Language Pathologist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-29 |
| 1376163394 | Farrah C Dimagiba | Occupational Therapist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-20 |
| 1780204776 | Kimberly Dekreek | Speech-Language Pathologist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-20 |
| 1467072520 | Hikaru Yamashita | Speech-Language Pathologist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-19 |
| 1528688702 | Ashley Bagorio | Occupational Therapist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-17 |
| 1568082766 | Whitney Reigh Asao | Occupational Therapist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366880098 | Nathan Koji Itoga | Surgery | 1508 Laukahi St, Honolulu, HI 96821-1432 | 2013-06-04 |
| 1568781623 | James D. Greig, M.d. Inc. | Surgery | 321 N Kuakini St Ste 814, Honolulu, HI 96817-2362 | 2010-05-27 |
| 1184829558 | David Kin Ming Wong | Surgery | 550 Beretania St. Ste 505, Hawaii Vascular and Endovascular, Inc, Honolulu, HI 96813 | 2007-06-18 |
| 1568541506 | Robert Kistner | Surgery | 848 S Beretania St, Ste 307, Honolulu, HI 96813-2551 | 2006-11-02 |
| 1467531400 | Kistner Vein Clinic | Surgery | 848 S Beretania St Ste 307, Honolulu, HI 96813-2551 | 2006-11-02 |
| 1851323471 | Dean T Sato | Surgery | 550 S Beretania St Ste 505, Honolulu, HI 96813-2496 | 2006-07-06 |
| 1720043706 | James D Greig | Surgery | 321 N Kuakini Street, Suite 814, Honolulu, HI 96817 | 2006-04-20 |
| 1881917326 | Kistner Vein Clinic Inc | Surgery | 848 S Beretania St, Suite 307, Honolulu, HI 96813-2551 | 2010-03-11 |
| 1396899902 | Nicolas A Nelken | Surgery | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2007-01-22 |
| 1053483123 | Elna M. Masuda | Surgery | 888 S King St, Honolulu, HI 96813-3009 | 2006-11-14 |
| Find all providers in HONOLULU | ||||
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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.