DR. CANDACE C GREEN (NPI# 1154313674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154313674 |
Entity Type | Individual |
Full Name | DR. CANDACE C GREEN |
Other Name | CANDACE C GREEN |
Credential | M.D. |
Practice Address |
2630 N Columbia Center Blvd Suite B Richland WA 99352-4853 |
Practice Telephone | 5094205053 |
Practice Fax Number | 5094925537 |
Mailing Telephone | 5094205053 |
Mailing Fax Number | 5094925537 |
Enumeration Date | 2005-08-19 |
Last Update Date | 2016-11-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
4301073070 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | PHP | 0700410 | 01 |
MI | 4706065 | 05 | |
MI | BCBS | 1605910202 | 01 |
MI | 4706056 | 05 | |
MI | 4709343 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255831368 | Candace Green | Licensed Practical Nurse | 3301 Tall Pnes, Pine Hill, NJ 08021-7615 | 2018-02-15 |
1033521919 | Candace Green | In Home Supportive Care | 309 Lancaster Dr, Tallahassee, FL 32304-3919 | 2014-05-27 |
1770022576 | Candace Green | Case Manager/Care Coordinator | 1108 S 4th St Ste 200, Chickasha, OK 73018-4634 | 2017-02-14 |
1801154588 | Candace Nicole Green | Home Health Aide | 7506 Georgia Ave Nw, Washington, DC 20012-1608 | 2012-05-01 |
Street Address |
2630 N COLUMBIA CENTER BLVD SUITE B |
City | RICHLAND |
State | WA |
Zip Code | 99352-4853 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407339229 | Zmc LLC | Internal Medicine | 2630 N Columbia Center Blvd, Richland, WA 99352-4853 | 2018-09-07 |
1427416437 | Zain Medical Center | Obstetrics & Gynecology | 2630 N Columbia Center Blvd, Richland, WA 99352 | 2016-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
Find all providers in zip 99352 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801988878 | Daniel E Bahnmiller | Obstetrics & Gynecology | 138 Keene Rd, Richland, WA 99352-8683 | 2006-09-28 |
1487946489 | Brie Altenau | Obstetrics & Gynecology | 945 Goethals Dr Ste 200, Richland, WA 99352-3552 | 2011-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215498779 | Community Pregnancy Center of Camas/washougal | Obstetrics & Gynecology | 2926 E St, Washougal, WA 98671-2021 | 2019-03-27 |
1720422512 | Options360 Women's Clinic | Obstetrics & Gynecology | 221 Ne 104th Ave Ste 209, Vancouver, WA 98664-4505 | 2013-04-23 |
1174673214 | Theresa Agnes Burdick | Obstetrics & Gynecology | 801 Broadway Ste 707, Seattle, WA 98122-4328 | 2007-01-11 |
1326154881 | James Vincent Brasch | Obstetrics & Gynecology | 212 E Central Ave Ste 340, Spokane, WA 99208-6289 | 2006-08-21 |
1093350977 | Roseline Buyeka | Obstetrics & Gynecology | 3815 S Othello St, Seattle, WA 98118-3510 | 2019-11-14 |
1154863157 | Waterfalls Longevity Center Pllc | Obstetrics & Gynecology | 9144 Burnett Rd Se, Ste B-3, Yelm, WA 98597-8488 | 2016-11-08 |
1306295605 | Lorraine Robertsonmd | Obstetrics & Gynecology | 12520 Sunrise Dr Ne, Bainbridge Island, WA 98110-4307 | 2016-06-07 |
1710394572 | Caitlin Schuh | Obstetrics & Gynecology | 9040 Jackson Ave, Tacoma, WA 98431-7324 | 2014-07-14 |
1790120145 | Malcolm William, George Hardy | Obstetrics & Gynecology | 320 W Willow St, Walla Walla, WA 99362-2922 | 2013-04-29 |
1376772616 | Natashia Monique Madrid Heimburger | Obstetrics & Gynecology | 2101 Ne 139th St, Suite 350, Vancouver, WA 98686-2309 | 2009-07-08 |
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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.