MORGAN GREEN (NPI# 1124478664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124478664 |
| Entity Type | Individual |
| Full Name | MORGAN GREEN |
| Credential | M.D. |
| Practice Address |
747 52nd St Oakland CA 94609-1809 |
| Mailing Address |
1325 40th St 1e-227 Emeryville CA 94608-3602 |
| Practice Telephone | 5104283000 |
| Mailing Telephone | 9094638469 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2019-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301113901 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Children's Hospital of Mi, 3901 Beaubien 3rd Fl # 3g32, Detroit, MI 48201 | 3139660128 | 3139930390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447812144 | Morgan Green | Physician Assistant | 7916 Sharon Dr, Mentor On The Lake, OH 44060-2825 | 2019-07-02 |
| 1215472220 | Morgan Green | Case Manager/Care Coordinator | 1116 Victor Ct, Midwest City, OK 73130-6025 | 2016-12-29 |
| 1285982231 | Morgan F Green | Counselor | 2420 Clover St, Union City, CA 94587-5320 | 2012-08-23 |
| 1952911133 | Morgan Green | Physical Therapist | 540 W Crossville Rd Ste 203, Roswell, GA 30075-7524 | 2020-08-03 |
| 1699305037 | Morgan Rae Green | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257-5467 | 2020-01-24 |
| 1568028603 | Morgan Elizabeth Green | Behavior Technician | 6789 Southpoint Pkwy, Jacksonville, FL 32216-8205 | 2019-05-14 |
| 1245611474 | Morgan Green | Counselor | 1014 Main St, Vancouver, WA 98660-3151 | 2015-06-12 |
| 1326452327 | Morgan Green | Internal Medicine | 101 S Fairview Rd, Columbia, MO 65203 | 2014-06-17 |
| 1124466719 | Morgan Green | Counselor | 1725 S Mccarran Blvd, Reno, NV 89502-9513 | 2013-06-05 |
| 1710285507 | Morgan Green | Physician Assistant | 5711 Almeda Rd, Houston, TX 77004-7303 | 2011-03-03 |
| Street Address |
747 52ND ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200928 | James Philip Riddel Jr. | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2005-07-29 |
| 1235739905 | Maria Elena Alicia Valdivia Fortuna | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-10-30 |
| 1295342707 | Jenny Chen | Dietitian, Registered | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-29 |
| 1104433028 | Phuong T Nguyen-tran | Pharmacist | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-24 |
| 1114538899 | Ji Yun Lee | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-14 |
| 1780295857 | Luis Alonso Perez Jr. | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-12 |
| 1255941803 | Aleesia Renta-ramirez | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-07 |
| 1831709773 | Carroll Taylor Brown IIi | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-05 |
| 1053921064 | Jessica Stankiewicz Lightcap | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-04 |
| 1184242307 | Cecilia Fairley | Genetic Counselor, MS | 747 52nd St, Oakland, CA 94609-1809 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063831386 | Ron Yalon | Pediatrics | 469 51st St, Oakland, CA 94609-2143 | 2014-04-15 |
| 1801136262 | Anthony S Raimo | Pediatrics | 645 Ramapo Valley Rd, Oakland, NJ 07436-2813 | 2013-02-21 |
| 1326314816 | Darrow Debs Deluca | Pediatrics | 747 52nd Street, Room 201, Pediatric Multispecialty Medical Group, Oakland, CA 94609-1809 | 2012-03-28 |
| 1366760175 | Lynne N Rosen | Pediatrics | 3451 East 12th St., Oakland, CA 94601-3425 | 2010-05-04 |
| 1568698090 | Juan Raul Gutierrez | Pediatrics | 1030 International Ave., Oakland, CA 94606-3730 | 2009-06-10 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1578721551 | Josephine A Roen | Pediatrics | 125 2nd St Apt 411, Oakland, CA 94607-4565 | 2008-05-27 |
| 1124294665 | Omid Gheysar | Pediatrics | 1800 Harrison Street 7th Street, Oakland, CA 94612-3429 | 2008-05-05 |
| 1336312891 | Lisa Meredith Siskind | Pediatrics | 3505 Broadway Fl 6, Oakland, CA 94611-5714 | 2008-04-04 |
| 1205027760 | Lisa Ann B Michaels | Pediatrics | 11 E Oak St, Oakland, NJ 07436-2721 | 2007-08-08 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on MORGAN GREEN.
| 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.