MR. JOSEPH E GREEN (NPI# 1265609333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265609333 |
Entity Type | Individual |
Full Name | MR. JOSEPH E GREEN |
Credential | IDC |
Practice Address |
140 Sylvester Rd, Bldg 139 San Diego CA 92106-3521 |
Mailing Address |
140 Sylvester Rd Bldg 139 San Diego CA 92106-3521 |
Practice Telephone | 6198083790 |
Mailing Telephone | 6198083790 |
Enumeration Date | 2008-05-08 |
Last Update Date | 2012-03-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720609605 | Joseph Green | Student in an Organized Health Care Education/Training Program | 600 Nw 4th St Apt 208, Oklahoma City, OK 73102-1652 | 2020-05-01 |
1710532460 | Joseph R Green | Hearing Instrument Specialist | 956 Dawsonville Hwy Ste A, Gainesville, GA 30501-2615 | 2019-08-08 |
1063865467 | Joseph Edward Green Jr. | Counselor | 1150 Collier Rd Nw Apt M6, Atlanta, GA 30318-2965 | 2016-07-20 |
1861744971 | Joseph Elmo Green | Family Medicine | 609 Old Hyw 74, Marshville, NC 28103-0146 | 2012-10-12 |
1952818767 | Joseph Green | Rehabilitation Practitioner | 10631 Gibbous Moon Dr, Las Vegas, NV 89129-6493 | 2018-01-02 |
1437418159 | Joseph Lynn Green | Internal Medicine | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 | 2012-05-15 |
1780748897 | Joseph W Green | Counselor | 165 State St, Suite 200, New London, CT 06320-6397 | 2006-12-21 |
1942273891 | Joseph A. Green | Optometrist | 1513 Scalp Ave, Suite 280, Johnstown, PA 15904-3331 | 2006-02-10 |
1467440537 | Joseph G Green Jr. | Podiatrist | 385 Tremont Ave, Dva - New Jersey Health Care System, East Orange, NJ 07018-1023 | 2005-10-12 |
Street Address |
140 SYLVESTER RD, BLDG 139 |
City | SAN DIEGO |
State | CA |
Zip Code | 92106-3521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821650300 | Ktre1, LLC | Assisted Living Facility | 3219 Canon St., San Diego, CA 92106 | 2019-07-03 |
1093289910 | Ahsha Smith | Occupational Therapist | 2026 Roosevelt Road, #105, San Diego, CA 92106 | 2019-01-14 |
1710429147 | William Anthony Rodriquez | Social Worker | 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 | 2016-11-16 |
1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
1659704542 | Sarah Hanem Izaguirre | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2013-08-14 |
1285945451 | Danielle R Michaelis Castillo | Marriage & Family Therapist | 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 | 2010-06-23 |
1588991145 | Philip Charles Rumsey | Dentist | 1050 Rosecrans St., Suite J, San Diego, CA 92106 | 2009-11-03 |
1801024575 | David Michael Spera | Dentist | 1050 Rosecrans, #j, San Diego, CA 92106 | 2009-07-01 |
1548408834 | Dolores Sanchez Pullen | Counselor | 1360 Rosecrans Street, Suite I, San Diego, CA 92106 | 2009-01-26 |
1215188362 | Jodi Lynn Ceballos | Psychologist | 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 | 2008-10-07 |
Find all providers in zip 92106 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
1174130744 | Daniel Carrera | Military Health Care Provider | 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 | 2020-09-28 |
1316551740 | Kyle Bode Francis | Military Health Care Provider | 3149 Murray Ridge Rd, San Diego, CA 92123-2917 | 2020-09-02 |
1255945069 | Jeremy Lee | Military Health Care Provider | 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 | 2020-08-31 |
1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
1932711934 | Alvaro Daniel Macias | Military Health Care Provider | 8685 Rio San Diego Dr Apt 4344, San Diego, CA 92108-6560 | 2020-08-20 |
1689286189 | Charles Luke Morris | Military Health Care Provider | 1675 Beta Ct, San Diego, CA 92126-7060 | 2020-08-18 |
1255943635 | Stephon Peyton Frost | Military Health Care Provider | 2654 Mendonca Dr, San Diego, CA 92110-4263 | 2020-08-18 |
1184235871 | Jaden Sandi | Military Health Care Provider | Swmi Sfidc Bldg 14 34101 Farenholt Ave, San Diego, CA 92134-0001 | 2020-08-14 |
1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
Find all providers in SAN DIEGO |
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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.