MR. MATTHEW REED GREEN (NPI# 1629210992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629210992 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW REED GREEN |
| Credential | MD |
| Practice Address |
2546 E 2nd St. #400 Casper WY 82609 |
| Practice Telephone | 3072340003 |
| Mailing Telephone | 3072340003 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2013-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 8877A | WY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558768 | Matthew S Green | Massage Therapist | 20445 Emerald Pkwy Ste 140, Cleveland, OH 44135-6031 | 2019-09-24 |
| 1114394236 | Matthew Dylan Green | Physical Therapist | 2108 Hemlock Dr, Spring Hill, TN 37174-3147 | 2015-08-24 |
| 1104176163 | Matthew Paul Green | Dentist | 12 River Terrace Ct, Apartment 204, Minneapolis, MN 55414-3713 | 2012-09-17 |
| 1619238987 | Matthew Jonathon Green | Dentist | 421 Second St, Traverse City, MI 49684-2004 | 2012-06-04 |
| 1124220793 | Matthew Stuart Green | Chiropractor | 6232 La Salle Ave, Oakland, CA 94611-2804 | 2007-06-04 |
| 1679697957 | Matthew Green | Counselor | 1208 Porter Wagoner Blvd, Suite 4, West Plains, MO 65775-1854 | 2007-03-19 |
| 1144203308 | Matthew Peter Green | Medical Genetics, Ph.D. Medical Genetics | 575 Industrial Dr, Louisa, VA 23093-4146 | 2005-11-22 |
| 1427661990 | Matthew Green | Dentist | 2190 Us Highway 27 N, Sebring, FL 33870-1861 | 2020-08-25 |
| 1356982482 | Matthew Green | Behavioral Analyst | 6 Chenell Dr Ste 150, Concord, NH 03301-8505 | 2019-09-30 |
| 1750934030 | Matthew Green | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2019-07-16 |
| Street Address |
2546 E 2ND ST. #400 |
| City | CASPER |
| State | WY |
| Zip Code | 82609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952317505 | Scott D Bennion | Dermatology | 2546 E 2nd St Ste 400, Casper, WY 82609-2062 | 2006-08-01 |
| 1700389004 | Tyler L. Quest, M.d., P.C. | Dermatology | 1119 E 3rd St, Casper, WY 82601-2905 | 2018-03-13 |
| 1821437971 | Tyler Lee Quest | Dermatology | 1119 E 3rd St, Casper, WY 82601-2905 | 2013-06-21 |
| 1588851547 | Central Wyoming Skin Clinic PC | Dermatology | 2546 E 2nd St Ste 400, Casper, WY 82609-2062 | 2007-10-03 |
| 1093713067 | Rowan E Tichenor | Dermatology | 1119 E 3rd St, Casper, WY 82601-2905 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942832159 | Draper Dermatology, P.C. | Dermatology | 196 Arrowhead Dr Ste 7, Evanston, WY 82930-8752 | 2020-02-05 |
| 1427408319 | Advanced Dermatology of Wyoming, Inc | Dermatology | 62 South Redmond Street, Jackson, WY 83001-8664 | 2016-06-21 |
| 1265653745 | Brittany Wilson Baker | Dermatology | 984 W Broadway, Suite 4, Jackson, WY 83001-0000 | 2007-05-01 |
| 1821041856 | Thomas J Hogarty, M.d. | Dermatology | 206 N Brooks St, Sheridan, WY 82801-3801 | 2006-05-19 |
| 1790749836 | Christopher Michael Lowther | Dermatology | 802 Gerrans Ave, Cody, WY 82414-4120 | 2006-04-14 |
| 1699742957 | Sandra K Surbrugg | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-07 |
| 1447233754 | Jonathan Glenn Baker | Dermatology | 984 West Broadway, Suite 4, Jackson, WY 83001-0000 | 2005-11-22 |
| 1043630619 | Krystal J Massey | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2014-04-23 |
| 1962676353 | Gregory Seitz | Dermatology | 2112 Seymour Ave, Cheyenne, WY 82001 | 2008-04-16 |
| 1265500946 | Seitz Dermatology, PC | Dermatology | 2112 Seymour Ave, Cheyenne, WY 82001-3830 | 2006-12-01 |
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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.