DR. STEPHEN TYLER GREEN (NPI# 1285970830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285970830 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN TYLER GREEN |
| Credential | M.D. |
| Practice Address |
993 Muirfield Dr Marietta GA 30068-2643 |
| Practice Telephone | 7708156000 |
| Mailing Telephone | 7708156000 |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2016-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2412914 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255976551 | Stephen Robert Green | Specialist/Technologist | 1515 Lee Rd, Guilford, VT 05301-8520 | 2019-11-10 |
| 1780742528 | Stephen R. Green | Internal Medicine | 1401 East Van Buren Avenue, Mcalester, OK 74501 | 2006-12-05 |
| 1265456453 | Stephen C Green | Dentist | 37 North Ave, Norwalk, CT 06851 | 2006-07-27 |
| 1770508145 | Stephen Kelly Green | Chiropractor | 4200 Wade Green Rd Nw, Suite 27, Kennesaw, GA 30144-1237 | 2006-07-13 |
| 1215901475 | Stephen G Green | Chiropractor | 11 Webster Avenue, Suite 3, Goshen, NY 10924 | 2006-02-15 |
| 1881679595 | Stephen Mark Green | Nurse Anesthetist, Certified Registered | 1376 Acworth Rd, Charlestown, NH 03603-4650 | 2005-12-14 |
| 1740289503 | Stephen Alan Green | Psychiatry & Neurology | 5410 Connecticut Ave Nw Ste 109, Washington, DC 20015-2819 | 2005-07-14 |
| 1245774397 | Stephen Green | Physician Assistant | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-12-08 |
| 1679987309 | Stephen C. Green | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-06-20 |
| 1275750713 | Stephen H Green | Surgery | 285 Sills Rd, Building 2 Suite A, Patchogue, NY 11772 | 2007-04-19 |
| Street Address |
993 MUIRFIELD DR |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477164341 | Mariam Yahaya | Student in an Organized Health Care Education/Training Program | 2655 Ravenoaks Pl, Marietta, GA 30062-5631 | 2020-08-13 |
| 1649897372 | Kyungran Gibson | Student in an Organized Health Care Education/Training Program | 2662 Shadow Bluff Dr Ne, Marietta, GA 30062-2568 | 2020-06-29 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1740819572 | Rudiona Hoxhaj | Student in an Organized Health Care Education/Training Program | 677 Church St Ne Attn: Gme, Marietta, GA 30060-1101 | 2020-04-03 |
| 1912536921 | Rabia Khan | Student in an Organized Health Care Education/Training Program | 77 Church St Ne, Marietta, GA 30060-1907 | 2020-04-02 |
| 1699302737 | Ankit Mathur | Student in an Organized Health Care Education/Training Program | 846 Paces Farm Trl Sw, Marietta, GA 30064-7550 | 2020-03-26 |
| 1114566247 | Shelby Anne Saltsman | Student in an Organized Health Care Education/Training Program | 352 Church St Ne, Marietta, GA 30060-1318 | 2020-01-07 |
| 1518521871 | Taylor Nicole Weintraub | Student in an Organized Health Care Education/Training Program | 1134 Waterford Green Ln, Marietta, GA 30068-2931 | 2019-04-23 |
| 1235692146 | Dakotah Rose Forell | Student in an Organized Health Care Education/Training Program | 667 Church St Ne, Marietta, GA 30060-1101 | 2019-04-08 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| Find all providers in MARIETTA | ||||
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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.