ANDY GREEN MD PA (NPI# 1083647788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083647788 |
| Entity Type | Organization |
| Organization Name | ANDY GREEN MD PA |
| Practice Address |
1380 Ne Miami Gardens Dr Ste 270 Miami FL 33179-4721 |
| Practice Telephone | 3059452877 |
| Practice Fax Number | 3059452878 |
| Mailing Telephone | 3059452877 |
| Mailing Fax Number | 3059452878 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-09-17 |
| Authorized Official Name | DR. ANDY RAY GREEN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3059452877 |
| Authorized Official Credential | M.D., P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME86150 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1380 NE MIAMI GARDENS DR STE 270 |
| City | MIAMI |
| State | FL |
| Zip Code | 33179-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164871745 | Svetlana Polyak | Nurse Practitioner | 1380 Ne Miami Gardens Dr, Suite 285, Miami, FL 33179-4707 | 2016-06-06 |
| 1205254505 | Wmc Health Group, LLC | Clinic/Center | 1380 Ne Miami Gardens Dr, Suite 210, Miami, FL 33179-4707 | 2014-04-03 |
| 1841629037 | Passport Health Holdings LLC | Clinic/Center | 1380 Ne Miami Gardens Dr, Ste 142, Miami, FL 33179-4744 | 2013-11-07 |
| 1083985931 | Bezerra De Menezes Acupuncture Clinic, LLC | Acupuncturist | 1380 Ne Miami Gardens Dr, Suite 274, Miami, FL 33179-4707 | 2012-01-24 |
| 1821317660 | Med-one Care Center, LLC | Internal Medicine | 1380 Ne Miami Gardens Dr, Ste 260, Miami, FL 33179-4707 | 2010-05-19 |
| 1952536450 | Dr. Amy Lynn Seinfeld D.o., P.a. | Family Medicine | 1380 Ne Miami Gardens Dr, Suite 280, Miami, FL 33179-4707 | 2009-05-27 |
| 1356503999 | Network Chiropractic Consultants Inc. | Chiropractor | 1380 Ne Miami Gardens Dr, Suite 264, Miami, FL 33179-4707 | 2008-06-25 |
| 1003938374 | Polina Nosel Md,pa | Clinic/Center | 1380 Ne Miami Gardens Dr, Suite 275, Miami, FL 33179-4707 | 2007-04-05 |
| 1932201852 | George Argyropoulos | Chiropractor | 1380 Ne Miami Gardens Dr, # 264, Miami, FL 33179-4707 | 2006-09-01 |
| 1912939018 | Andrew G Frank | Acupuncturist | 1380 Ne Miami Gardens Dr, Suite 140, Miami, FL 33179-4707 | 2006-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619531365 | Bianca Dorce | Nurse Practitioner | 20036 Ne 2nd Pl, Miami, FL 33179 | 2019-04-29 |
| 1790254027 | Linda Rachel Topel | Family Medicine | 1911 Ne 197 Terrace, North Miami Beach, FL 33179 | 2018-11-15 |
| 1427542356 | Arianne Monal | Assistant Behavior Analyst | 447 Ne 210th Circle Ter Apt 202, Miami, FL 33179 | 2018-06-14 |
| 1588152268 | Carvil's Professional Service | Case Management | 1311 Ne 210 Ter, Miami, FL 33179 | 2018-04-27 |
| 1407363997 | Martha Acosta | Behavioral Analyst | 1160 Ne 214th St, Miami, FL 33179 | 2018-01-05 |
| 1730698697 | Jacqueline Stone | Dietitian, Registered | 1895 Ne 197th Ter, Miami, FL 33179 | 2017-09-23 |
| 1912420647 | Barbara Ann Hunter | Social Worker | 20170 Ne 3 Court Unit 1, Miami, FL 33179 | 2017-07-25 |
| 1356875660 | Germanie Marlene Casanova | Counselor | 1300 Ne 204 Street, Miami, FL 33179 | 2017-04-13 |
| 1164962494 | Lilliana Vazquez-rivera Md LLC | Internal Medicine | 382 Ne 191st St, #74432, Miami, FL 33179 | 2017-03-06 |
| 1437606027 | Marjorie Jadotte | Nurse Practitioner | 20826 San Simeon Way Unit 51 L, North Miami Beach, FL 33179 | 2016-09-01 |
| Find all providers in zip 33179 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
| 1386119097 | Katlein Paola De Franca | Dermatology | 1295 Nw 14th St # Lmk, Miami, FL 33125-1610 | 2018-10-09 |
| 1316328578 | Laura-louise Scott | Dermatology | 1295 Nw 14th St Ste Lmk, Miami, FL 33125-1610 | 2015-06-13 |
| 1629471230 | Dorene Niv | Dermatology | 3431 Ne 1st Ave, Miami, FL 33137-3981 | 2014-09-27 |
| 1518372309 | Franz Kerdel | Dermatology | 3661 S Miami Ave Ste 1005, Miami, FL 33133-4214 | 2014-06-30 |
| 1093145831 | Ivan D Camacho Md Pa | Dermatology | 79 Sw 12 St #3907, Miami, FL 33130-5215 | 2013-11-14 |
| 1861835720 | Rivka C Stone | Dermatology | 1295 Nw 14th St Ste Lmandk, Miami, FL 33125-1610 | 2013-04-10 |
| 1861734584 | Alyx Cali Rosen | Dermatology | 1600 Nw 10th Ave Rm 2023, Miami, FL 33136 | 2013-03-20 |
| 1760750012 | Mind Fitness Inc | Dermatology | 1084 Nw 135th Ct, Miami, FL 33182-2616 | 2011-12-01 |
| Find all providers in MIAMI | ||||
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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.