DR. MARY V GREEN (NPI# 1316905276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316905276 |
| Entity Type | Individual |
| Full Name | DR. MARY V GREEN |
| Other Name | MARY VIRGINIA GREEN |
| Credential | M.D. |
| Practice Address |
4811 Buckley Rd Liverpool NY 13088-3676 |
| Mailing Address |
4811 Buckley Rd Liverpool NY 13088 |
| Practice Telephone | 3154579966 |
| Practice Fax Number | 3154579854 |
| Mailing Telephone | 3154579966 |
| Mailing Fax Number | 3154579854 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 124467 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173548 | Mary Green | Technician | 1011 Patch St, Beckley, WV 25801-6837 | 2020-08-05 |
| 1003450388 | Mary Elizabeth Green | Licensed Practical Nurse | 650 Highland Ave # 100, Winston Salem, NC 27101-4304 | 2019-10-30 |
| 1861049033 | Mary Elizabeth Green | Technician | 9127 Rt240, West Valley, NY 14171 | 2019-08-22 |
| 1154827350 | Mary Etosha Green | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd Winston Salem, Winston Salem, NC 27157-0001 | 2018-04-05 |
| 1760860456 | Mary Green | Student in an Organized Health Care Education/Training Program | 11655 Briar Forest Dr, 31, Houston, TX 77077-5023 | 2015-05-13 |
| 1073941415 | Mary Fisher Green | Physician Assistant | 1120 15th St # Af-2044, Augusta, GA 30912-3040 | 2013-10-22 |
| 1790031441 | Mary T Green | Home Health Aide | 2419 Adamsway Dr, Aurora, IL 60502-9076 | 2012-07-31 |
| 1659680569 | Mary Elizabeth Green | Social Worker | 400 N Main St Ste 3, Manahawkin, NJ 08050-3730 | 2010-09-27 |
| 1689818411 | Mary Sue Green | Counselor | 8150 Us Highway 287, Childress, TX 79201-7152 | 2009-04-23 |
| 1750524948 | Mary O. Green | Case Manager/Care Coordinator | 7684 Greenridge Ct, Douglasville, GA 30134-3762 | 2009-04-17 |
| Street Address |
4811 BUCKLEY RD |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129655 | Fozia Bakshi | Pediatrics | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2006-03-24 |
| 1700492758 | Kaitlyn Kropf | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-09-16 |
| 1134732381 | Eleanor Gustke | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-08-27 |
| 1003428418 | Meghan Dambach | Pediatrics | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-08-18 |
| 1427681600 | Darcie Morgan | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-02-17 |
| 1073173332 | Hunter Pierce | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3676 | 2019-06-19 |
| 1194380139 | Ranya Ali Hamdan | Physician Assistant | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2019-05-06 |
| 1629544051 | Grace Geno | Physician Assistant | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2018-10-24 |
| 1043739055 | Meahgan Lefevre | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3676 | 2017-09-12 |
| 1871011346 | Lisa Carter | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3676 | 2017-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235389834 | Angelle M Cresswell | Pediatrics | 1 Garnoch Ct, Liverpool, NY 13090-3910 | 2008-09-19 |
| 1073522587 | Brenda R Van Fossen | Pediatrics | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2006-08-05 |
| 1669437687 | Chima O Chionuma | Pediatrics | 7711 Oswego Road, Liverpool, NY 13090 | 2006-04-20 |
| 1538129655 | Fozia Bakshi | Pediatrics | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2006-03-24 |
| 1356330187 | Purnima Vyavaharkar Pediatric Practice PC | Pediatrics | 8400 Oswego Rd, Liverpool, NY 13090-1004 | 2005-10-14 |
| 1003428418 | Meghan Dambach | Pediatrics | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-08-18 |
| 1578910147 | Richard James Tyler Jr. | Pediatrics | 4811 Buckley Rd, Liverpool, NY 13088-3676 | 2016-05-24 |
| 1376927038 | North Area Pediatrics, PC | Pediatrics | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2015-07-13 |
| 1982023222 | Renee Boulware | Pediatrics | 4811 Buckley Rd, Liverpool, NY 13088-3676 | 2014-04-15 |
| 1629202783 | Jaclyn Sisskind | Pediatrics | 8138 Oswego Rd, Liverpool, NY 13090-1500 | 2009-05-05 |
| Find all providers in LIVERPOOL | ||||
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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.