DR. MICHAEL D GREEN (NPI# 1437193612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437193612 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D GREEN |
| Credential | M.D. |
| Practice Address |
601 W Maple Ave Suite 703 Springdale AR 72764-5335 |
| Mailing Address |
601 West Maple Ave. Suite 703 Springdale AR 72764 |
| Practice Telephone | 4797502203 |
| Practice Fax Number | 4797501193 |
| Mailing Telephone | 4797502203 |
| Mailing Fax Number | 4797501193 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
C7697 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100078010A | 05 | |
| AR | QUAL CHOICE | 168460000 | 01 |
| AR | DEA | BG2212518 | 01 |
| MO | 208228700 | 05 | |
| AR | 117593001 | 05 | |
| AR | AR STATE LICENSE | C7697 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636186 | Michael James Green | Specialist/Technologist | 632 Noble Ct, Grand Junction, CO 81504-6987 | 2019-02-20 |
| 1063903995 | Michael Jamiel Green | Non-emergency Medical Transport (VAN) | 3816 Schooner Trl, Chesapeake, VA 23321-3215 | 2018-05-26 |
| 1144735051 | Michael Scott Green | Emergency Medical Technician, Paramedic | 315 Heathrow Dr, Hiram, GA 30141-2341 | 2017-12-14 |
| 1861934176 | Michael Green | Student in an Organized Health Care Education/Training Program | 9 Q St Ne, Washington, DC 20002-2105 | 2016-11-17 |
| 1245789528 | Michael Monroe Green | Counselor | 1048 Jackson Ave, Sharon Hill, PA 19079-1608 | 2016-09-27 |
| 1225429251 | Michael Thomas Green | Specialist/Technologist | 1651 51st St, Sacramento, CA 95819-4503 | 2015-02-12 |
| 1003119611 | Michael T Green | Dentist | 1900 N. Roselle Rd, #401, Schaumburg, IL 60195 | 2010-12-21 |
| 1760794515 | Michael Green | Chiropractor | 5101 Bel Air St, Boise, ID 83705-2774 | 2010-07-09 |
| 1316175292 | Michael Green | Emergency Medicine | Naval Hospital Camp Pendleton 200 Mercy Circle, Oceanside, CA 92055 | 2009-06-30 |
| 1548469562 | Michael S Green | Dentist | 2244 Green Hedges Way, Ste #102, Wesley Chapel, FL 33544-8189 | 2007-07-11 |
| Street Address |
601 W MAPLE AVE SUITE 703 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062494 | Murl Baker | Otolaryngology | 601 W Maple Ave, Ste 213, Springdale, AR 72764-5397 | 2005-06-09 |
| 1316308570 | Robert Petrino, Md, Pa | Surgery | 601 W Maple Ave, Suite 511, Springdale, AR 72764-5335 | 2016-03-16 |
| 1427418045 | Lori Guffey | Speech-Language Pathologist | 601 W Maple Ave, Springdale, AR 72764-5335 | 2016-02-24 |
| 1245697176 | Jenny Rainey I | Physical Therapy Assistant | 601 W Maple Ave, Springdale, AR 72764-5335 | 2016-01-22 |
| 1497112411 | Evelyn Kristena Honey | Occupational Therapist | 601 W Maple Ave, Springdale, AR 72764-5335 | 2016-01-21 |
| 1356708424 | Jay Hiebert | Physical Therapist | 601 W Maple Ave, Springdale, AR 72764-5335 | 2016-01-20 |
| 1124461942 | Shefa Rahman | Psychiatry & Neurology | 601 W Maple Ave, Suite 403, Springdale, AR 72764-5335 | 2013-04-10 |
| 1235479874 | James L. Hiatt, D.d.s., P.l.l.c. (springdale) | Dentist | 601 W Maple Ave, Springdale, AR 72764-5335 | 2013-02-19 |
| 1306117023 | Mary H Obrien | Audiologist | 601 W Maple Ave, Suite 213, Springdale, AR 72764-5335 | 2012-01-26 |
| 1104101716 | Steven Boyd Johnson | Physician Assistant | 601 W Maple Ave, Suite 411, Springdale, AR 72764-5335 | 2011-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346284528 | James A. S. Haisten | Internal Medicine | 601 W Maple Ave, Suite 703, Springdale, AR 72764-5379 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497041982 | Jerson Munoz Mendoza | Internal Medicine | 3343 Springhill Dr Ste 1035, North Little Rock, AR 72117-2930 | 2011-06-22 |
| 1225126626 | Lensey Crashun Scott | Internal Medicine | 525 Western Ave Ste 202, Conway, AR 72034-4980 | 2006-10-11 |
| 1982648663 | Northwest Arkansas Heart & Vascular Center | Internal Medicine | 3211 N. North Hills Blvd., Suite 110, Fayetteville, AR 72703 | 2006-06-15 |
| 1306889407 | Loyd E Nugent | Internal Medicine | 2701 Se J St, Bentonville, AR 72712-4266 | 2006-06-14 |
| 1023072808 | David A Churchill | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-04-17 |
| 1508825647 | L. Parker Norris | Internal Medicine | 625 United Dr Ste 220, Conway, AR 72032-7835 | 2006-03-18 |
| 1740266998 | Vishwanatha S Nadig | Internal Medicine | 405 E Collin Raye Dr Ste C, De Queen, AR 71832 | 2005-12-20 |
| 1851386833 | Aldo Vicente Fonticiella | Internal Medicine | 619 W Grove St, El Dorado, AR 71730-4413 | 2005-09-15 |
| 1114919107 | Allan B Hatch | Internal Medicine | 1000 Highway 35 N, Suite 8, Benton, AR 72019-2351 | 2005-08-17 |
| 1437154036 | Jeffrey George Tauth | Internal Medicine | 110 Cracker Box Ln, Hot Springs National Park, AR 71913-5418 | 2005-06-20 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on DR. MICHAEL D GREEN.
| 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.