ROBERT L. GREEN JR. (NPI# 1417967340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417967340 |
| Entity Type | Individual |
| Full Name | ROBERT L. GREEN JR. |
| Credential | PA |
| Practice Address |
1400 George Dieter Dr Suite 100 El Paso TX 79936-7601 |
| Mailing Address |
6110 Dalrock Rd #1512 Rowlett TX 75088-4402 |
| Practice Telephone | 9158574559 |
| Mailing Telephone | 9158720067 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04506 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC/BS OF TEXAS | 8N9774 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851791826 | Robert Green | Counselor | 4680 Brownsboro Rd, Suite 201, Winston Salem, NC 27106-3428 | 2014-08-27 |
| 1306089321 | Robert Stewart Green | Licensed Practical Nurse | 1077 Woodside Dr, Mansfield, OH 44906-1536 | 2009-04-07 |
| 1861522328 | Robert Hyman Green | Pathology | 11022 Hibbing Street, Cerritos, CA 90703-6447 | 2007-03-06 |
| 1932298155 | Robert F Green | Podiatrist | 38600 Center Ridge Rd, N Ridgeville, OH 44039-2837 | 2006-10-12 |
| 1043308331 | Robert Tyler Green | Dentist | 1805 W White Oak Terrace, Suite A, Conroe, TX 77304-3950 | 2006-10-11 |
| 1811005234 | Robert Hart Green | Psychologist | 3830 Packard St, Suite #250, Ann Arbor, MI 48108-2051 | 2006-08-26 |
| 1265443204 | Robert Garrard Green | Physical Therapist | 2295 Foothill Drive, Salt Lake City, UT 84109 | 2006-08-11 |
| 1659317253 | Robert F Green | Dentist | 6506 Church St, Cass City, MI 48726-1204 | 2006-06-21 |
| 1669424859 | Robert Green | Physician Assistant | 3501 Nw 63rd St, Suite 500, Oklahoma City, OK 73116-2237 | 2006-05-16 |
| 1538120480 | Robert Lawrence Green | Counselor | 1233 Shelburne Road, Suite D 4, South Burlington, VT 05403-7753 | 2006-03-30 |
| Street Address |
1400 GEORGE DIETER DR SUITE 100 |
| City | EL PASO |
| State | TX |
| Zip Code | 79936-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912984733 | Aleph Respiratory & Dme, Inc. | Durable Medical Equipment & Medical Supplies | 1400 George Dieter Dr, Suite 120, El Paso, TX 79936-7601 | 2005-12-22 |
| 1629628813 | Adriana Vizcaino | Nurse Practitioner | 1400 George Dieter Dr, El Paso, TX 79936-7653 | 2019-09-19 |
| 1184079907 | Msk Consultants Pllc | Orthopaedic Surgery | 1400 George Dieter Dr, Suite 100, El Paso, TX 79936-7653 | 2016-04-29 |
| 1710317367 | Alton Marcello, M.d., P.a. | Obstetrics & Gynecology | 1400 George Dieter Dr, Suite 240, El Paso, TX 79936-7653 | 2013-11-18 |
| 1528495462 | Eric Sides, Md., Pa | Orthopaedic Surgery | 1400 George Dieter Dr, Suite 100, El Paso, TX 79936-7653 | 2013-10-10 |
| 1861829459 | O'meara Rosado, Dpm., Pllc | Podiatrist | 1400 George Dieter Dr, Suite100, El Paso, TX 79936-7653 | 2013-09-27 |
| 1053679464 | Eric Sides, M.d., Pa | Orthopaedic Surgery | 1400 George Dieter Dr, Ste 100, El Paso, TX 79936-7653 | 2012-04-24 |
| 1912146622 | Capital Cardiovascular Consultants, Pllc | Internal Medicine | 1400 George Dieter Dr, Suite 100, El Paso, TX 79936-7601 | 2009-02-19 |
| 1811187024 | Haroutioun S Shahinian, Md, Pa | Internal Medicine | 1400 George Dieter Dr, Ste 270, El Paso, TX 79936-7601 | 2007-07-25 |
| 1114121613 | Paul Joseph Chubb | Orthopaedic Surgery | 1400 George Dieter Dr, Ste100, El Paso, TX 79936-7653 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| 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 |
|---|---|---|---|---|
| 1598371791 | Miriam Leticia Munoz | Physician Assistant | 646 Mike Carbajal Rd, El Paso, TX 79927-2149 | 2020-09-22 |
| 1184264541 | Rodrigo Carrasco | Physician Assistant | 7560 Wolf Creek Dr, El Paso, TX 79911-3143 | 2020-01-13 |
| 1134764558 | Andrea Pilar Stam | Physician Assistant | 5005 N. Piedras Street; Attn, Wbamc, El Paso, TX 79920-5001 | 2019-11-08 |
| 1326680786 | Lori Evelyn Berumen | Physician Assistant | 7100 Westwind Dr Ste 120, El Paso, TX 79912-1757 | 2019-10-17 |
| 1609437946 | Ruben Andy Medina | Physician Assistant | 179 Vinson Way, El Paso, TX 79915-4227 | 2019-06-26 |
| 1790344331 | Alexandra Apodaca | Physician Assistant | 1641 Bessemer Dr, El Paso, TX 79936-5226 | 2019-06-07 |
| 1427518901 | Danielle Hicks | Physician Assistant | 2496 Ricker Rd., El Paso, TX 79916 | 2019-03-21 |
| 1023586211 | Erica Guerrero | Physician Assistant | 4801 Alberta Ave Ste B-3200, El Paso, TX 79905-2707 | 2018-11-06 |
| 1366919391 | Jeffrey Aaron Hobbs | Physician Assistant | 5005 N. Piedras Street, Attn;, Wbamc, El Paso, TX 79920-5001 | 2018-10-29 |
| 1720580764 | Sungil Hwang | Physician Assistant | 11200 Sean Haggerty Dr Apt 18208, El Paso, TX 79934-3386 | 2018-03-06 |
| Find all providers in EL PASO | ||||
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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.