DR. MARK ALLEN GREEN (NPI# 1609968544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609968544 |
| Entity Type | Individual |
| Full Name | DR. MARK ALLEN GREEN |
| Credential | D.C. |
| Practice Address |
2137 Dixie Hwy Louisville KY 40210-2242 |
| Mailing Address |
7716 Barbour Place Dr Louisville KY 40241-2730 |
| Practice Telephone | 5025610490 |
| Practice Fax Number | 5024094964 |
| Mailing Telephone | 5025610490 |
| Mailing Fax Number | 5024094964 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 08001343 | IN | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 3776 | KY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT ADVANTAGE ID# | 2623859000 | 01 |
| KY | ANTHEM # | 000000051525 | 01 |
| KY | PASSPORT PROVIDER # | 50008078 | 01 |
| KY | 85001758 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902342165 | Mark Green | Specialist/Technologist | 339 Nacoochee Dr, Rabun Gap, GA 30568-2200 | 2017-01-12 |
| 1215293261 | Mark S Green | Pharmacist | 923 W Central Park Ave, Davenport, IA 52804-1802 | 2012-04-04 |
| 1811123862 | Mark Ryan Green | Physical Therapist | 29185 Highway 191, Many, LA 71449-6313 | 2009-06-04 |
| 1770785925 | Mark Daniel Green | Dentist | 415 1st St E, Humble, TX 77338-4602 | 2007-06-01 |
| 1386760981 | Mark R Green | Dentist | 108 Vail St, Middlesex, NJ 08846-1943 | 2007-03-22 |
| 1841209962 | Mark Raymond Green | Dentist | 2201 Lincoln Way West, South Bend, IN 46628-2513 | 2006-08-07 |
| 1154395044 | Mark Ellison Green | Internal Medicine | 370 Bmh Physicians Office Bldg, Maryville, TN 37804-5819 | 2006-02-15 |
| 1396736336 | Mark S Green | Physician Assistant | 10040 Two Notch Rd, Columbia, SC 29223-4396 | 2005-10-31 |
| 1083162424 | Mark Green | Pharmacist | 731 Cherry Dr, Hershey, PA 17033-2099 | 2016-09-14 |
| 1033589569 | Mark Stephen Green | Psychologist | 9415 E Harry St, Suite 703, Wichita, KS 67207-5089 | 2015-09-26 |
| Street Address |
2137 DIXIE HWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40210-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578105094 | Bluegrass Bone & Joint Pllc | Orthopaedic Surgery | 2137 Dixie Hwy, Louisville, KY 40210-2242 | 2019-10-16 |
| 1669857348 | M2 D2 LLC | Clinic/Center | 2137 Dixie Hwy, Louisville, KY 40210-2242 | 2015-07-23 |
| 1164631958 | Premier Chiropractic Downtown LLC | Chiropractor | 2137 Dixie Hwy, Louisville, KY 40210-2242 | 2007-05-21 |
| 1962620773 | Robert Earl Roach Jr. | Chiropractor | 2137 Dixie Hwy, Louisville, KY 40210-2242 | 2007-04-24 |
| 1881811065 | E-town Injury Center | Chiropractor | 2137 Dixie Hwy, Louisville, KY 40210-2242 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568919322 | Drjbcdc | Chiropractor | 1714 Dixie Hwy, Louisville, KY 40210 | 2016-09-08 |
| 1194900100 | Mahyar Mofidi | Dentist | 1480 Dixie Hwy, Louisville, KY 40210 | 2008-01-09 |
| 1962552042 | Dixie Dental Center Psc | Clinic/Center | 1480 Dixie Hwy, Louisville, KY 40210 | 2007-01-11 |
| 1528494770 | Valerie Gholson Day | Marriage & Family Therapist | 1620 Anderson St, Louisville, KY 40210-1032 | 2013-09-19 |
| 1851821532 | Heart 2 Heart Veterans Care | Nurse's Aide | 2518 Osage Ave, Louisville, KY 40210-1116 | 2017-06-15 |
| 1588127310 | Klf Company LLC | Community/Behavioral Health | 1833 Date St, Louisville, KY 40210-1245 | 2019-04-09 |
| 1407305998 | Prorehab Louisville | Clinic/Center | 902 S 15th St, Louisville, KY 40210-1319 | 2016-09-26 |
| 1568070480 | Stimar Healthcare LLC | Nurse Practitioner | 2111 W Oak St, Louisville, KY 40210-1419 | 2020-07-16 |
| 1982240115 | Geri Ann Thomas | Nurse Practitioner | 2228 Hale Ave, Louisville, KY 40210-1436 | 2019-11-22 |
| 1649747882 | Tanika L. Owens | Kinesiotherapist | 1022 Dumesnil St., Louisville, KY 40210-1517 | 2018-10-25 |
| Find all providers in zip 40210 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650668 | Christina Ann Schlesinger | Chiropractor | 108 Cannons Ln, Louisville, KY 40206-2725 | 2020-02-12 |
| 1801438064 | Life Alive Chiropractic LLC | Chiropractor | 245 Century Cir Ste 105, Louisville, CO 80027-1740 | 2019-10-09 |
| 1689215402 | Iroquois Injury Care Chiropractic Center Psc | Chiropractor | 5324 S 3rd St Ste 102, Louisville, KY 40214-2690 | 2019-10-02 |
| 1801448675 | Olivia Trainor | Chiropractor | 232 Mccaslin Blvd Apt 203, Louisville, CO 80027-2915 | 2019-07-11 |
| 1629638648 | Clear View Chiropractic, Pllc | Chiropractor | 727 Speckman Rd, Louisville, KY 40243-1876 | 2019-06-20 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1255890901 | Emily Ann Boyich | Chiropractor | 1075 E South Boulder Rd Ste 110, Louisville, CO 80027-2557 | 2019-03-12 |
| 1952868390 | Dr. Matt Isner, Dc, Pllc | Chiropractor | 912 Lily Creek Rd Ste 200, Louisville, KY 40243-2815 | 2019-02-21 |
| 1326535238 | Optimum Health Center | Chiropractor | 9913 Shelbyville Rd Ste 102, Louisville, KY 40223-2907 | 2018-04-16 |
| 1205339686 | Fall City Chiropractic | Chiropractor | 3050 W Broadway Ste F, Louisville, KY 40211-1475 | 2018-03-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40210 |
Please comment or provide details below to improve the information on DR. MARK ALLEN 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.