SCOTT M GREEN MD P C (NPI# 1144377300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144377300 |
| Entity Type | Organization |
| Organization Name | SCOTT M GREEN MD P C |
| Other Organization Name | ACADEMY PARK FAMILY PRACTICE, PC |
| Practice Address |
7373 W Jefferson Ave Suite 201 Lakewood CO 80235-2038 |
| Practice Telephone | 3039791559 |
| Practice Fax Number | 3039866895 |
| Mailing Telephone | (303) 979-1559 |
| Mailing Fax Number | 3039866895 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | DR. SCOTT M GREEN (OWNER) |
| Authorized Official Telephone | 3039791559 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29123 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1801877519 | 05 |
| Other Name | Type Code |
|---|---|
| Academy Park Family Practice, PC | Doing Business As Name - Organization |
| Street Address |
7373 W JEFFERSON AVE SUITE 201 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80235-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146026 | Thomas K. Mayeda, M.d., PC | Internal Medicine | 7373 W Jefferson Ave, Ste 103, Lakewood, CO 80235-2038 | 2005-07-07 |
| 1083117493 | Wise Sleep and Wellness LLC | Dentist | 7373 W Jefferson Ave, Lakewood, CO 80235-2038 | 2018-03-12 |
| 1487194940 | Modern Audiology | Audiologist | 7373 W Jefferson Ave, Suite 301, Lakewood, CO 80235-2038 | 2017-03-03 |
| 1255870861 | Erin Corinne Barela | Dental Hygienist | 7373 W Jefferson Ave, 404, Lakewood, CO 80235-2038 | 2017-02-15 |
| 1568904977 | Zachary Zells | Audiologist | 7373 W Jefferson Ave, Ste 301, Lakewood, CO 80235-2021 | 2016-11-16 |
| 1114478575 | Brennan Bonati | Dentist | 7373 W Jefferson Ave, Lakewood, CO 80235 | 2016-10-20 |
| 1588032841 | Paul Lee | Acupuncturist | 7373 W Jefferson Ave, Lakewood, CO 80235-2038 | 2015-09-03 |
| 1912398173 | Wise Dental Care | Dentist | 7373 W Jefferson Ave, #305, Lakewood, CO 80235-2038 | 2015-02-10 |
| 1659607471 | Ohollearn Chiropractic PC | Clinic/Center | 7373 W Jefferson Ave, 402, Lakewood, CO 80235-2038 | 2009-10-29 |
| 1609002922 | Rochelle Louise Dworet | Pediatrics | 7373 W Jefferson Ave, Ste 100, Lakewood, CO 80235-2038 | 2009-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295244051 | Nicole Gan | Behavioral Analyst | 7220w. Jefferson Ave Suite 202, Lakewood, CA 80235 | 2017-09-25 |
| 1336684059 | Preferred Homecare Infusion, LLC | Durable Medical Equipment & Medical Supplies | 6900 W Jefferson Ave Ste 130, Lakewood, CO 80235 | 2017-01-04 |
| 1457501637 | Patrick John Rydell | Speech-Language Pathologist | 3636 S. Independence St., Lakewood, CO 80235 | 2008-09-24 |
| 1164631644 | Carole M. Emanuel | Dentist | 7373 West Jefferson Ave., Suite #304, Lakewood, CO 80235 | 2007-05-22 |
| 1235259680 | Christopher David Elson | Dentist | 7373 W. Jefferson Ave #403, Lakewood, CO 80235 | 2007-03-30 |
| 1750420840 | Kelly Z Crim | Counselor | 3900 S. Wadsworth Blvd Suite 360, Lakewood, CO 80235 | 2007-02-05 |
| 1750469714 | Paul Henry Arendt | Dentist | 7373 W Jefferson Ave #304, Lakewood, CO 80235 | 2006-11-01 |
| 1750491544 | Sharon Diane Hilderbrant | Psychologist | 7220 W Jefferson Ave, Suite 307, Lakewood, CO 80235 | 2006-08-30 |
| 1346766466 | Jayden Brooke Cornejo | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235 | 2017-08-21 |
| 1972991842 | Erin Montgomery | Behavioral Analyst | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235 | 2014-12-31 |
| Find all providers in zip 80235 | ||||
| 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. |
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| 1356860803 | Front Range Clinic Inc. | Family Medicine | 1410 Vance St Ste 201, Lakewood, CO 80214-5435 | 2017-09-15 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1083148324 | Stephanie Baker | Family Medicine | 255 S Routt St, Lakewood, CO 80228-2271 | 2017-04-13 |
| 1043766413 | Paladina Health, LLC | Family Medicine | 3701 Michelson St, Lakewood, CA 90712-1402 | 2016-08-26 |
| 1245686674 | Gary James Cantrell Jr. | Family Medicine | 12105 W Alameda Pkwy Ste 100, Lakewood, CO 80228-2832 | 2016-05-04 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1194145656 | Mile High Wound and Hyperbaric Medicine Pllc | Family Medicine | 12065 W Auburn Dr, Lakewood, CO 80228-4765 | 2014-04-23 |
| Find all providers in LAKEWOOD | ||||
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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.