LAWRENCE J GREEN, MD LLC (NPI# 1144233289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144233289 |
| Entity Type | Organization |
| Organization Name | LAWRENCE J GREEN, MD LLC |
| Practice Address |
15005 Shady Grove Rd Suie 440 Rockville MD 20850-6340 |
| Mailing Address |
15005 Shady Grove Rd Suite 440 Rockville MD 20850-6340 |
| Practice Telephone | 3016100663 |
| Practice Fax Number | 3016105420 |
| Mailing Telephone | 3016100663 |
| Mailing Fax Number | 3016105420 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-12-30 |
| Authorized Official Name | DR. LAWRENCE J GREEN (PHYSICIAN) |
| Authorized Official Telephone | 3016100663 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
D50346 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAMSI/OPTIMUM CHOICE | 258278 | 01 |
| MD | AETNA | 5802523 | 01 |
| MD | BCBS | 4281-0001 | 01 |
| Street Address |
15005 SHADY GROVE RD SUIE 440 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-6340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497756233 | Sheri L. Hamersley | Obstetrics & Gynecology | 15005 Shady Grove Rd, Suite 340, Rockville, MD 20850-6340 | 2005-08-02 |
| 1346618337 | Aceso Healthcare Partners LLC | Clinic/Center | 15005 Shady Grove Rd, Suite 240, Rockville, MD 20850-6340 | 2015-09-08 |
| 1720489222 | Kathleen Ellen Skillin | Physician Assistant | 15005 Shady Grove Rd, Suite 130, Rockville, MD 20850-6340 | 2014-09-16 |
| 1396174371 | Virginia Lee Mccarty | Registered Nurse | 15005 Shady Grove Rd, Suite 120, Rockville, MD 20850-6340 | 2013-11-11 |
| 1104190313 | Potomacplasticandreconstructivesurgerycenterjanettealexandermdpa | Surgery | 15005 Shady Grove Rd, #220, Rockville, MD 20850-6340 | 2012-03-06 |
| 1447529011 | Molly Julia Garges | Nurse Practitioner | 15005 Shady Grove Rd, Rockville, MD 20850-6340 | 2011-12-27 |
| 1114296787 | Jagmeet Kaur | Internal Medicine | 15005 Shady Grove Rd, #310, Rockville, MD 20850-6321 | 2011-12-27 |
| 1235469073 | Arthur Z Weiss | Dentist | 15005 Shady Grove Rd, Suite 230, Rockville, MD 20850-6340 | 2009-12-29 |
| 1609109677 | Leonard N. Green | Psychiatry & Neurology | 15005 Shady Grove Rd, Suite 440, Rockville, MD 20850-6340 | 2009-09-09 |
| 1487820619 | Jennifer Mara Hammer | Ophthalmology | 15005 Shady Grove Rd, Suite 100, Rockville, MD 20850-6340 | 2008-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073581344 | Lawrence J. Green | Dermatology | 9601 Blackwell Rd Ste 260, Rockville, MD 20850-6487 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555780 | Amanda Lauren Pittillo | Dermatology | 9515 Deereco Rd Ste 208, Timonium, MD 21093-2153 | 2019-02-27 |
| 1609386531 | Tlc Obgyn and Cosmetic Services | Dermatology | 7414 Quail Ridge Ln, Bowie, MD 20720-4352 | 2017-10-05 |
| 1508103011 | Center for Dermatology and Dermatologic Surgery Management, LLC | Dermatology | 167 Jennifer Rd Ste W, Annapolis, MD 21401-7910 | 2013-01-04 |
| 1558535351 | Tania Rae Therese Peters | Dermatology | 5471 C2 Wisconsin Avenue, Suite 200, Chevy Chase, MD 20815 | 2008-04-14 |
| 1306999065 | Peter C Morse | Dermatology | 5425 Wisconsin Ave, Suite 702, Chevy Chase, MD 20815-3552 | 2007-01-18 |
| 1871514794 | Laurence H Miller Md Pa | Dermatology | 5454 Wisconsin Avenue, Suite #747, Chevy Chase, MD 20815-6901 | 2006-07-23 |
| 1407845779 | James Kevin Poulton | Dermatology | 5233 King Ave, Ste 204, Baltimore, MD 21237-4003 | 2005-10-19 |
| 1306835681 | Nadine B Acri | Dermatology | 8100 Sandpiper Circle, Suite 208, White Marsh, MD 21236 | 2005-10-19 |
| 1053310789 | Sanders Harris Berk | Dermatology | 19221 Montgomery Village Ave, C-12, Montgomery Village, MD 20886-5022 | 2005-07-15 |
| 1205347994 | Alina Gerasymova | Dermatology | 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042-7703 | 2017-10-20 |
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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.