CALVIN CAMERON GREENE


Address: 1361 13th Ave S, Suite 190, Jacksonville Beach, FL 32250-3235
Phone: 9042475514

CALVIN CAMERON GREENE (NPI# 1629039276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629039276
Entity Type Individual
Full Name CALVIN CAMERON GREENE
Credential M.D.
Practice Address 1361 13th Ave S
Suite 190
Jacksonville Beach
FL 32250-3235
Mailing Address Po Box 16568
Jacksonville
FL 32245-6568
Practice Telephone 9042475514
Practice Fax Number 9042473363
Mailing Telephone 9044722300
Mailing Fax Number 9044722330
Enumeration Date 2006-03-31
Last Update Date 2015-11-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology ME55935 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 062032700 05

Office Location

Street Address 1361 13TH AVE S
SUITE 190
City JACKSONVILLE BEACH
State FL
Zip Code 32250-3235

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316949746 Thomas Carens Hilton Internal Medicine 1361 13th Ave S, Ste 270, Jacksonville Beach, FL 32250 2005-08-15
1336511690 Physicians Group Services, Pa Pain Medicine 1361 13th Ave S, Unit 250, Jacksonville Beach, FL 32250-3233 2015-10-27
1649672866 Alesha Wilson Nurse Practitioner 1361 13th Ave S, Jacksonville Beach, FL 32250-3233 2014-09-18
1730590217 Valerie Brink Lmhc Pa Counselor 1361 13th Ave S, Suite 215, Jacksonville Beach, FL 32250-3233 2014-05-18
1134548167 Ashley Saliba Hill Physician Assistant 1361 13th Ave S, Suite 270, Jacksonville Beach, FL 32250-3233 2014-04-07
1598015133 Nagula & Associates, Pllc Physical Medicine & Rehabilitation 1361 13th Ave S, Suite 140, Jacksonville Beach, FL 32250-3233 2012-09-11
1326311465 Baptist Cardiology, Inc. Internal Medicine 1361 13th Ave S, Suite 270, Jacksonville Beach, FL 32250-3233 2012-02-21
1912138512 Hazeline Katherine Mccabe Physician Assistant 1361 13th Ave S, Ste 150, Jacksonville Beach, FL 32250-3233 2009-07-30
1538395116 Michael William Riesmeyer Massage Therapist 1361 13th Ave S, Suite 210, Jacksonville Beach, FL 32250-3233 2009-06-09
1558509596 Neurology Associates of North Florida Diagnostics,inc. Legal Medicine 1361 13th Ave S, Ste 170a, Jacksonville Beach, FL 32250-3233 2009-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386129591 Kelsey Ilene Keimig Audiologist 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 2018-10-03
1225529696 Turning Tides Eating Disorder Treatment Center, LLC. Clinic/Center 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 2018-05-22
1528578820 Dianne Frances Gay Dental Hygienist 1144 14th Street North, Jacksonville Beach, FL 32250 2017-10-02
1801324280 Kailo Nutrition Dietitian, Registered 353 B 6th Street South, Jacksonville, FL 32250 2017-05-30
1275985368 Shankeertha Sundaralingam Dentist 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 2016-07-13
1851777494 Brooke Worthington Davidson Audiologist 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 2015-08-05
1689059115 Jenna Levine Speech-Language Pathologist 779 10th Avenue South, Jacksonville Beach, FL 32250 2015-07-27
1790176824 Olivia Ingram Caswell Acupuncturist 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 2015-02-11
1467859033 Colleen Freeman Physical Therapist 1537 Penman Rd, Jacksonville, FL 32250 2014-11-26
1356750012 Madelyn Jones Physical Therapist 1320 Roberts Drive, Jacksonville Beach, FL 32250 2014-08-07
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558538744 Kristin Burns Caldow Obstetrics & Gynecology 390 16th Ave S, Jacksonville Beach, FL 32250-4961 2008-05-15
1245369099 James V O'leary Obstetrics & Gynecology 1361 13th Ave S Ste &110&115, Jacksonville Beach, FL 32250-3233 2007-03-05
1336101138 Leandro I Rodriguez Obstetrics & Gynecology 1577 Roberts Drive, Suite #323, Jacksonville Beach, FL 32250 2006-04-05
1881656718 Elizabeth Morgan Walsh Obstetrics & Gynecology 1361 13th Ave S Ste 110&190, Jacksonville Beach, FL 32250-3233 2006-04-05
1841251949 Samuel A. Christian Obstetrics & Gynecology 1370 13th Avenue, South, Suite 118, Jacksonville Beach, FL 32250-3206 2006-03-29
1881655207 John G. Bordelon Obstetrics & Gynecology 1577 Roberts Drive Suite #323, Jacksonville Beach, FL 32250 2006-03-28
1801240759 Anita Patel Obstetrics & Gynecology 1577 Roberts Dr Ste 323, Jacksonville Beach, FL 32250-3266 2016-04-18
1700299468 Kimberly S Manek Obstetrics & Gynecology 1577 Roberts Dr Ste 323, Jacksonville Beach, FL 32250-3266 2014-06-10
1790721140 Rebekah M. Richmond Obstetrics & Gynecology 1577 Roberts Drive, Suite #323, Jacksonville Beach, FL 32250 2006-06-22
1760426340 Frank R Collier Sr. Obstetrics & Gynecology 1522 Penman Rd, Jacksonville Beach, FL 32250-3744 2006-06-15
Find all providers in JACKSONVILLE BEACH

Competitor

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City JACKSONVILLE BEACH
Zip Code 32250

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Dataset Information

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.

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