MS. TERESA DESHAWN GREEN (NPI# 1295700425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295700425 |
Entity Type | Individual |
Full Name | MS. TERESA DESHAWN GREEN |
Other Name | MRS. TERESA DESHAWN HARGROVE |
Credential | PHYSICIAN ASSISTANT |
Practice Address |
1020 Forrest Avenue Suite 1 Dover DE 19946 |
Mailing Address |
2323 S Harvard Ave Tulsa OK 74114-3301 |
Practice Telephone | 3027301110 |
Practice Fax Number | 3027341046 |
Mailing Telephone | 9182932140 |
Mailing Fax Number | 9182932195 |
Enumeration Date | 2006-02-21 |
Last Update Date | 2019-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 2962 | OK | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | PA031082 | DC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | C0003136 | MD | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
C5-0000491 | DE | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790026045 | Teresa Michele Green | Occupational Therapist | 301 Monticello Mews Apt 208, Hampton, VA 23666-2786 | 2013-03-12 |
1104154293 | Teresa Diane Green | Homemaker | 415 W Gladys St, Sikeston, MO 63801-2733 | 2009-11-30 |
1043466006 | Teresa Green | Counselor | 10208 Buckmeadow Ln, Damascus, MD 20872-2925 | 2008-08-11 |
1255395661 | Teresa A Green | Chiropractor | 2004 Bremo Rd Ste 101, Richmond, VA 23226-2442 | 2006-04-13 |
1922642917 | Teresa Miriam Green | Counselor | 8831 Venice Blvd, Los Angeles, CA 90034-3223 | 2019-11-01 |
1669841268 | Teresa Green | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-24 |
1609275692 | Teresa Starr Green | Social Worker | 6117 Broad St, Pittsburgh, PA 15206-3011 | 2014-08-15 |
1144557810 | Teresa Green | Clinic/Center | 151 N Main St, Decatur, IL 62523-1206 | 2009-11-17 |
1427247261 | Teresa Green | Social Worker | 1125 New Jersey Ave Nw, Washington, DC 20001-1365 | 2007-10-17 |
1629299425 | Teresa Ann Green | Social Worker | 1424 E 11 Mile Rd, Royal Oak, MI 48067-2026 | 2007-05-01 |
Street Address |
1020 FORREST AVENUE SUITE 1 |
City | DOVER |
State | DE |
Zip Code | 19946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588952618 | Westside Family Healthcare, Inc. | Preferred Provider Organization | 1020 Forrest Avenue, Dover, DE 19901 | 2011-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164969085 | Jonathan Wenk | Adult Companion | 6 North Market St, Frederica, DE 19946 | 2017-01-30 |
1477910099 | Patricia Licausi | Student in an Organized Health Care Education/Training Program | 3148 Main Street, Frederica, DE 19946 | 2016-01-27 |
1245624329 | Michelle Marie Johnston | Counselor | 124 West Front Street, Frederica, DE 19946 | 2015-03-26 |
1477823888 | Patricia Ann Groff | Nurse's Aide | 3544 Main Street, Frederica, DE 19946 | 2012-01-03 |
1063744795 | Southern De Associates of Oral & Maxillofacial Surgery | Dentist | 126 West Front St., Frederica, DE 19946 | 2010-02-05 |
1518064815 | Bowers Fire Company Inc | Ambulance | 3285 Main St, Frederica, DE 19946 | 2006-09-20 |
1326145624 | Frederica Volunteer Fire Company | Ambulance | 2 Front St, Frederica, DE 19946 | 2006-09-20 |
1154301612 | Lieba T Kaplan | Social Worker | 224 N Bay Shore Drive, Bowers Beach, DE 19946-1206 | 2006-01-20 |
1316544661 | Addineka Cole | Psychologist | 298 Waterway Dr, Frederica, DE 19946-2126 | 2020-10-08 |
1912434721 | Caitlin Pepper | Counselor | 263 Sweeping Mist Cir, Frederica, DE 19946-2408 | 2017-05-11 |
Find all providers in zip 19946 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922643139 | Kayla Sharese Beauplan | Physician Assistant | 644 S Queen St Ste 106, Dover, DE 19904-3543 | 2019-11-12 |
1598313793 | Neil Mast | Physician Assistant | 515 Union Ave Ste 157, Dover, OH 44622-3005 | 2019-08-30 |
1699339317 | Diana Kay Fizette | Physician Assistant | 13014 Binnion Dr, Dover, FL 33527-3661 | 2019-04-29 |
1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
1508332149 | Kerri Taylor | Physician Assistant | 1125 Forrest Ave Ste 203, Dover, DE 19904-3483 | 2018-10-22 |
1841716909 | Tara Kay | Physician Assistant | 1113 S State St Ste 100, Dover, DE 19901-4112 | 2017-08-20 |
1356861918 | Brielle Camille Greco | Physician Assistant | 655 S Bay Rd Ste 1, Dover, DE 19901-4615 | 2017-06-26 |
1710407671 | Alicia Kelley Wilber | Physician Assistant | 750 Central Ave Ste N, Dover, NH 03820-3434 | 2017-06-22 |
1194194035 | Shawn Blackburn | Physician Assistant | 200 Banning St Ste 340, Dover, DE 19904-3490 | 2015-09-22 |
1851760094 | Sydney Scott | Physician Assistant | 200 Banning Street, Suite 340, Eden Hill Medical Center, Dover, DE 19904 | 2015-09-17 |
Find all providers in DOVER |
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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.