JOHN W. GREEN (NPI# 1114082559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114082559 |
| Entity Type | Individual |
| Full Name | JOHN W. GREEN |
| Credential | M.D. |
| Practice Address |
2562 Kinard St Newberry SC 29108-2910 |
| Practice Telephone | 8032766689 |
| Mailing Telephone | 8032766689 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 8843 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 088434 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497065551 | John Armstrong Green | Dentist | 5029 S 1200 E, Ogden, UT 84403-4297 | 2010-10-07 |
| 1558513218 | John Eddie Green | Dentist | 38 Pembroke Ln, San Antonio, TX 78240-2594 | 2008-10-14 |
| 1750531414 | John Green II | Dentist | Us Army Dentac Bavaria, Unit 28038, Apo, AE 09112 | 2008-09-30 |
| 1316133416 | John Green | Registered Nurse | 6724 Castle Creek Dr, Fort Worth, TX 76132-3708 | 2007-09-21 |
| 1386766202 | John W Green | Pharmacist | 1221 Rushridge Rd, Jefferson, IA 50129-2306 | 2007-04-03 |
| 1952425605 | John Michael Green Jr. | Dentist | 4608 W 103rd St, Oak Lawn, IL 60453-4719 | 2007-03-19 |
| 1104958495 | John M Green | Chiropractor | 1115 Belcher Lane, Hartsville, TN 37074-3859 | 2007-03-12 |
| 1649318437 | John Paul Green | Social Worker | 54 Willshire Dr, Williamstown, MA 01267-2927 | 2007-02-02 |
| 1114072444 | John N Green | Internal Medicine | 90 Us Highway 22 W, Springfield, NJ 07081-3110 | 2007-01-25 |
| 1326120478 | John Robert Green | Social Worker | 7738 W 80th St, Playa Del Rey, CA 90293-7972 | 2006-10-19 |
| Street Address |
2562 KINARD ST |
| City | NEWBERRY |
| State | SC |
| Zip Code | 29108-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568805307 | Grace Healthcare LLC | Clinic/Center | 2562 Kinard St, Newberry, SC 29108-2910 | 2013-04-11 |
| 1740566710 | All-grace Hospice, LLC | Hospice Care, Community Based | 2562 Kinard St, Newberry, SC 29108-2910 | 2011-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472109 | Palmetto Bone and Joint | Pain Medicine | Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 | 2019-08-15 |
| 1922578582 | Joni Seibert Chapman | Registered Nurse | 3419 Main Street, Newberry, SC 29108 | 2018-11-27 |
| 1235652967 | Stephanie M Fulmer | Nurse Practitioner | 2351 Evans Street, Suite A, Newberry, SC 29108 | 2017-07-25 |
| 1497152177 | Frances Diane Martin | Registered Nurse | 9307 Sc Highway 34, Newberry, SC 29108 | 2014-11-25 |
| 1528463254 | Lauren Flynn | Registered Nurse | 3419 Main St, Newberry, SC 29108 | 2014-10-23 |
| 1689017998 | Charlene Kneece | Registered Nurse | 255 Hawkins Road, Newberry, SC 29108 | 2013-04-17 |
| 1952642423 | Allison Kyzer Gardner | Chiropractor | 3218 College Street, Newberry, SC 29108 | 2013-03-08 |
| 1972853372 | Dipa Mcgee | Pharmacist | 1210 Wilson Road, Newberry, SC 29108 | 2012-09-12 |
| 1730339060 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 2850 Kinard St, Newberry, SC 29108 | 2008-09-23 |
| 1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
| Find all providers in zip 29108 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718986 | Jason Wittlin | Family Medicine | 601 Sw 242nd Ter, Newberry, FL 32669-4495 | 2020-10-21 |
| 1154662658 | Jackson Streeter | Family Medicine | 13424 Sw 4th Ln, Newberry, FL 32669-3050 | 2013-03-07 |
| 1598942963 | Marnie Vanstrum | Family Medicine | 1410 Wilson Rd, Newberry, SC 29108-3050 | 2008-01-28 |
| 1093812224 | Compass Family Medicine,pa | Family Medicine | 2605 Kinard Street, Suite 208, Newberry, SC 29108-2909 | 2006-09-20 |
| 1689681785 | Rikantas Petras Majauskas | Family Medicine | 13000 W Newberry Road, Cc-162, Newberry, FL 32669 | 2006-08-02 |
| 1205899382 | Mary Elizabeth Little | Family Medicine | 2605 Kinard St Ste 200, Newberry, SC 29108-2965 | 2006-04-10 |
| 1487630554 | Jorge O Garcia, M.d., LLC | Family Medicine | 2531 Evans St, Suite A, Newberry, SC 29108-2939 | 2005-12-20 |
| 1750367405 | Newberry Family Health Center Pa | Family Medicine | 1539 Harrington St, Newberry, SC 29108-2817 | 2005-12-15 |
| 1598764870 | Michael Jerome Bernardo | Family Medicine | 1109 Wilson St, Newberry, SC 29108-3443 | 2005-07-19 |
| 1235691437 | Ohio Valley Physicians Inc | Family Medicine | 800 Main St, Newberry, SC 29108-3351 | 2019-04-05 |
| Find all providers in NEWBERRY | ||||
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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.