PHILLIP M GREEN (NPI# 1124075957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124075957 |
Entity Type | Individual |
Full Name | PHILLIP M GREEN |
Credential | MD |
Practice Address |
3025 Gull Rd Kalamazoo MI 49048-1281 |
Mailing Address |
5943 Stadium Dr Ste 4 Kalamazoo MI 49009-3016 |
Practice Telephone | 2695522298 |
Practice Fax Number | 2695522201 |
Enumeration Date | 2006-05-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301044591 | MI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578593646 | Phillip Stewart Green | Social Worker | 19710 Ventura Blvd, Suite 203, Woodland Hills, CA 91364-2636 | 2006-07-04 |
1639175037 | Phillip Edward Green | Anesthesiology | 6005 Park Ave Ste 502, Memphis, TN 38119-5215 | 2005-06-22 |
1639697386 | Phillip Edward Green | Nurse Anesthetist, Certified Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-09-01 |
1346658929 | Phillip Green | Counselor | 399 E Main St, Columbus, OH 43215-5384 | 2014-07-28 |
1538191812 | Phillip A Green | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104 | 2006-07-07 |
Street Address |
3025 GULL RD |
City | KALAMAZOO |
State | MI |
Zip Code | 49048-1281 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790256451 | Joshua Nagel | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-12-06 |
1003386830 | Amanda Borieo | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-12-05 |
1396240743 | Lindsay Switzer | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-03-28 |
1861997314 | Leslie Anne Rafferty | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-03-27 |
1598260309 | Susan Jane Thomas | Occupational Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-03-26 |
1528562568 | Alyssa M Yuill | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-03-23 |
1104329572 | Mark Holling | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-03-13 |
1902178072 | Anne Lea Klok | Clinical Exercise Physiologist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2012-02-03 |
1285875013 | Promed Healthcare | Chiropractor | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2009-03-06 |
1083744122 | Borgess Medical Center | Nurse Practitioner | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2007-03-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
Find all providers in zip 49048 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831179407 | Kelly D Ybema | Psychiatry & Neurology | 1541 Gull Rd Ste 100, Kalamazoo, MI 49048-1645 | 2006-01-19 |
1437663150 | Kristy Lynn Vanbeek | Psychiatry & Neurology | 601 John St Ste M-124, Kalamazoo, MI 49007-5377 | 2017-11-17 |
1124413034 | Cristopher Kaps | Psychiatry & Neurology | 1541 Gull Rd Ste 100, Kalamazoo, MI 49048-1645 | 2015-03-30 |
1457611956 | John Paul Bunka | Psychiatry & Neurology | 601 John St Ste M-124, Kalamazoo, MI 49007-5377 | 2012-05-18 |
1073831681 | Yanny Phillips | Psychiatry & Neurology | 601 John St, Suite M-124, Kalamazoo, MI 49007-5341 | 2010-05-06 |
1801060397 | Anthony Lee | Psychiatry & Neurology | 1541 Gull Rd, Ste 100, Kalamazoo, MI 49048-1644 | 2008-04-16 |
1043410384 | Martinson Arnan | Psychiatry & Neurology | 601 John St, Suite M124, Kalamazoo, MI 49007-5341 | 2007-07-24 |
1316994577 | Premier Medical Care | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-05-30 |
1396709523 | Fayyaz Mahmood | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-04-14 |
1033173794 | Sugandhi Sridharan | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-04-12 |
Find all providers in KALAMAZOO |
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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.