JEFFREY EMANUEL GREEN (NPI# 1497246649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497246649 |
| Entity Type | Individual |
| Full Name | JEFFREY EMANUEL GREEN |
| Credential | MD |
| Practice Address |
10600 Tanager Ln Potomac MD 20854-6316 |
| Practice Telephone | 3013320467 |
| Mailing Telephone | 3013320467 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
D0031283 | MD | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | D0031283 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395228 | Jeffrey Scott Green | Pharmacist | 3931 State Highway 37, Ogdensburg, NY 13669-4237 | 2020-04-23 |
| 1104264647 | Jeffrey Paul Green | Dentist | 109 Grandview Way, Missoula, MT 59803-3359 | 2013-06-06 |
| 1043587405 | Jeffrey David Green | Nurse Practitioner | 733 Us 1, North Palm Beach, FL 33408-4513 | 2011-11-29 |
| 1801040886 | Jeffrey Green | Registered Nurse | 13800 E Marina Dr Apt 211, Aurora, CO 80014-3785 | 2008-11-04 |
| 1932389814 | Jeffrey Robert Green | Naturopath | 8707 Jackrabbit Ln Ste A, Belgrade, MT 59714-8995 | 2007-11-08 |
| 1649480245 | Jeffrey Green | Dentist | 149 N Midland St, Merrill, MI 48637 | 2007-05-23 |
| 1558499137 | Jeffrey Harris Green | Psychiatry & Neurology | 170 Cold Soil Road, Cedar Glen Professional Association, Princeton, NJ 08540-4202 | 2007-03-02 |
| 1235275462 | Jeffrey J. Green | Physical Therapist | 1 Royal Park Dr, Ste 2, Zeeland, MI 49464-2242 | 2007-01-29 |
| 1407928849 | Jeffrey Scott Green | Chiropractor | 3020 Richfield Rd, Flint, MI 48506-2472 | 2006-11-14 |
| 1104917558 | Jeffrey L Green | Nurse Anesthetist, Certified Registered | 1524 W 5th St, Sheridan, WY 82801-2707 | 2006-09-28 |
| Street Address |
10600 TANAGER LN |
| City | POTOMAC |
| State | MD |
| Zip Code | 20854-6316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083000939 | Jeffrey E. Green | Clinic/Center | 10600 Tanager Ln, Potomac, MD 20854-6316 | 2015-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
| 1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
| 1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
| 1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
| 1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
| 1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
| 1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
| 1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
| 1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
| 1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
| Find all providers in zip 20854 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335572 | Marcelo J. A. Amar | Medical Genetics | 10 Center Drive 5d03, Bethesda, MD 20892-0001 | 2020-04-24 |
| 1477985851 | Maximilian Muenke | Medical Genetics | 5131 Dudley Ln, Bethesda, MD 20814-5429 | 2013-08-07 |
| 1013279330 | Sho T Yano | Medical Genetics | 35 Convent Drive Msc 3717 Building 35 Rm 1b202, Bethesda, MD 20892-1425 | 2012-06-12 |
| 1467756585 | Ellen Sidransky | Medical Genetics | 351a213 Convent Dr, Bethesda, MD 20892-0001 | 2011-01-04 |
| 1750684346 | Asd Centers, LLC | Medical Genetics | 14 Redgate Ct, Silver Spring, MD 20905-5726 | 2010-12-21 |
| 1730418963 | Rafael Daniel Camerini-otero | Medical Genetics | Building 5, Room 201, Nih, Bethesda, MD 20892-0538 | 2009-12-17 |
| 1871829648 | Leslie Glenn Biesecker | Medical Genetics | 49 Convent Dr Rm 4a56, Bethesda, MD 20892-0001 | 2009-10-28 |
| 1992948582 | William Allen Gahl | Medical Genetics | 10 Center Drive Msc 1851, Bldg. 10, Room 10c-103, Nhgri, Nih, Bethesda, MD 20892-0001 | 2009-04-12 |
| 1750554952 | Meral Gunay-aygun | Medical Genetics | Nhgri 10 Center Dr Bldg 10, Rm 10c103, Bethesda, MD 20892-0001 | 2008-04-08 |
| 1912103177 | Johns Hopkins University | Medical Genetics | 1812 Ashland Ave Ste 200, Baltimore, MD 21205-1506 | 2007-06-25 |
| Find all providers with the same taxonomy | ||||
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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.