THOMAS RICHARD GREEN JR. (NPI# 1407857626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407857626 |
| Entity Type | Individual |
| Full Name | THOMAS RICHARD GREEN JR. |
| Credential | MD |
| Practice Address |
2001 W 86th St Indianapolis IN 46260 |
| Mailing Address |
250 W 96th St Ste 520 Indianapolis IN 46260-1316 |
| Practice Telephone | 3173382345 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
01031243 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100094270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760718779 | Thomas M. Green | Pharmacist | 303 1st Ave, Tybee Island, GA 31328-8752 | 2009-10-26 |
| 1548311483 | Thomas L Green | Chiropractor | 606 N 66th St., Lincoln, NE 68505-2408 | 2007-01-16 |
| 1093815292 | Thomas Marks Green | Dentist | 334 S Brea Blvd, Brea, CA 92821-5336 | 2006-09-25 |
| 1366551202 | Thomas Leonard Green | Family Medicine | 688 Frenchtown Road, East Greenwich, RI 02818 | 2006-08-30 |
| 1083624845 | Thomas H Green | Chiropractor | 1713 W Us Highway 160, Suite 215, West Plains, MO 65775-7669 | 2006-08-08 |
| 1477511665 | Thomas Alan Green | Nurse Practitioner | 12600 N 113th Ave Ste C6, Youngtown, AZ 85363-1164 | 2006-05-04 |
| 1770542862 | Thomas Patrick Green | Pediatrics | 2400 Childrens Plaza, Childrens Memorial Hospital, Chicago, IL 60614 | 2006-03-20 |
| 1538130075 | Thomas Arlis Green | Family Medicine | 1860 Us Route 20, Cazenovia, NY 13035-9647 | 2006-02-01 |
| 1861494718 | Thomas A Green | Chiropractor | 321 W Central Ave, Fitzgerald, GA 31750-2441 | 2005-08-11 |
| 1942207709 | Thomas J Green Jr. | Radiology | 1673 Mason Ave, Suite 305, Daytona Beach, FL 32117-5515 | 2005-07-07 |
| Street Address |
2001 W 86TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021829 | Bassem I Razzouk | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2005-05-27 |
| 1881209294 | Jennifer L Maupin | Nurse Practitioner | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-09-11 |
| 1851904973 | Taylor Anne Vandervort | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-08-28 |
| 1437762796 | Casey Michelle O'neal | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-08-26 |
| 1396360590 | Kathleen Sue Lilegdon | Dietitian, Registered | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-06-12 |
| 1033732979 | Rachel Leigh Thelen | Physician Assistant | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-27 |
| 1942823976 | Shelby Nichole Preston | Dietitian, Registered | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-26 |
| 1396367165 | Gabrielle Ann Vickery | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-14 |
| 1154950798 | Kaylee Elizabeth Poole | Pharmacist | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-06 |
| 1326677014 | Julie Mary Bittar | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629340278 | Jack M Kamen | Anesthesiology | 8782 Cricket Tree Ln, Indianapolis, IN 46260-1660 | 2012-01-29 |
| 1588665988 | Diane Carol Gibbs | Anesthesiology | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2005-08-09 |
| 1811345556 | Maura Elizabeth Walsh | Anesthesiology | 1701 N Senate Blvd, Ag012, Indianapolis, IN 46202-1239 | 2016-06-02 |
| 1548673841 | Colin Michael Rogerson | Anesthesiology | 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2014-06-04 |
| 1649613423 | Benjamin Patrick Havens | Anesthesiology | 2001 W 86th St, Indianapolis, IN 46260 | 2013-04-11 |
| 1417290149 | Alyson K Baker | Anesthesiology | 705 Riley Hospital Dr, Ri 3004, Indianapolis, IN 46202-5109 | 2013-04-01 |
| 1629310800 | Jason A Espinoza | Anesthesiology | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2013-03-26 |
| 1134482193 | Lee Doyle Murphy | Anesthesiology | 705 Riley Hospital Dr, Ri 4900, Indianapolis, IN 46202-5109 | 2012-06-24 |
| 1235495698 | Danielle Kristine Maue | Anesthesiology | 705 Riley Hospital Dr, Ri 3004, Indianapolis, IN 46202 | 2012-04-10 |
| 1053699306 | Christopher G Markham | Anesthesiology | 705 Riley Hospital Dr, Ri 4900, Indianapolis, IN 46202-5109 | 2011-08-03 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.