JONATHAN MICHAEL GREEN (NPI# 1467829192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467829192 |
Entity Type | Individual |
Full Name | JONATHAN MICHAEL GREEN |
Credential | CNIM |
Practice Address |
13 S Tejon St Fl 5 Colorado Springs CO 80903-1513 |
Mailing Address |
8540 Sw Ash Meadows Rd 113 Wilsonville OR 97070-4014 |
Practice Telephone | 8662868576 |
Mailing Telephone | 3013354422 |
Enumeration Date | 2015-08-28 |
Last Update Date | 2015-08-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
2612 | MD | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548652332 | Jonathan Green | Peer Specialist | 710 Terry Ave, Springdale, AR 72764-6804 | 2015-03-03 |
1720425390 | Jonathan Green | Surgery | 1200 Everett Dr Ste 2320, Oklahoma City, OK 73104-5047 | 2013-05-23 |
1225028210 | Jonathan Green | Physician Assistant | 10444 Sr 66 N, Newburgh, IN 47630-7954 | 2005-10-21 |
1760097679 | Jonathan Matthew Green | Pharmacist | 50 Irving St Nw, Washington, DC 20422-0001 | 2020-09-09 |
1235601055 | Jonathan Carson Green | Specialist/Technologist | 1000 E Main St, Danville, IN 46122-1948 | 2018-12-18 |
1952889347 | Jonathan Jorvell Green | Occupational Therapist | 3101 Ginger Dr, Tallahassee, FL 32308-4437 | 2018-07-30 |
1447754098 | Jonathan Green | Physical Therapist | 2620 Scripture St, Denton, TX 76201-4315 | 2018-03-20 |
1164930756 | Jonathan Green | Counselor | 5151 Adanson St, Orlando, FL 32804-1330 | 2018-01-17 |
1144622382 | Jonathan Green | Registered Nurse | 257 Lafayette Ave, Suffern, NY 10901-4830 | 2014-09-18 |
1437568144 | Jonathan Green | Psychologist | 150 S Huntington Ave, 116b-4, Boston, MA 02130-4817 | 2014-08-06 |
Street Address |
13 S TEJON ST FL 5 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80903-1513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588030720 | Kimberly Jaynes | Specialist/Technologist, Other | 13 S Tejon St Fl 5, Colorado Springs, CO 80903-1513 | 2015-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
Find all providers in zip 80903 |
Taxonomy Code | 246ZE0600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Electroneurodiagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871000588 | Peak Neuro Monitoring LLC | Specialist/Technologist, Other | 4164 Austin Bluffs Pkwy Unit 603, Colorado Springs, CO 80918-2928 | 2018-01-03 |
1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
1780044289 | Kevin Gillette | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903 | 2016-02-26 |
1588030720 | Kimberly Jaynes | Specialist/Technologist, Other | 13 S Tejon St Fl 5, Colorado Springs, CO 80903-1513 | 2015-08-11 |
1720420482 | Justin J Becco | Specialist/Technologist, Other | 807 Point of The Pines Dr, Colorado Springs, CO 80919-8141 | 2013-07-23 |
1215376256 | Carlo Singson | Specialist/Technologist, Other | 13 South Tejon St, 501, Colorado Springs, CO 80903 | 2013-06-24 |
1659616431 | Andrew Benjamin Harris | Specialist/Technologist, Other | 815 Custer Ave, Colorado Springs, CO 80903-2725 | 2012-12-04 |
1912513128 | Destiny Elmore | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903-1928 | 2020-09-22 |
1528679511 | Kristina Henson | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903-1928 | 2020-08-12 |
1922620764 | John Parkanzky | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903-1928 | 2020-05-14 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80903 |
Please comment or provide details below to improve the information on JONATHAN MICHAEL 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.