MR. ERIC ROSS GREEN (NPI# 1629391446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629391446 |
Entity Type | Individual |
Full Name | MR. ERIC ROSS GREEN |
Credential | CP |
Practice Address |
Fairfax Road At Virginia St. Salt Lake City UT 84103-4399 |
Practice Telephone | 8015363820 |
Mailing Telephone | 8015363820 |
Enumeration Date | 2010-03-08 |
Last Update Date | 2010-03-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
1669810610 | Eric A Green | Audiologist | 92 Broadway Ste B, Denville, NJ 07834-2733 | 2013-06-12 |
1467769588 | Eric Douglas Green | Pathology | Nih 31 Center Dr, Building 31, Room 4b09, Bethesda, MD 20892-0001 | 2010-09-10 |
1093326340 | Eric Neal Green | Registered Nurse | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-08-11 |
1609366293 | Eric Green | Counselor | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2018-05-18 |
1548761547 | Eric Anthony Green | Peer Specialist | 401 S Tustin St Bldg C, Orange, CA 92866-2550 | 2018-02-24 |
1871011064 | Eric Demond Green | Driver | 90 Pine St, Shepherd, TX 77371 | 2017-09-07 |
1447796875 | Eric Green | Nurse Practitioner | 1520 N Division St, Blytheville, AR 72315-1448 | 2017-01-09 |
1316284706 | Eric Douglas Green | Rehabilitation Counselor | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2013-01-07 |
1235483793 | Eric L Green | Physical Therapy Assistant | 257 Sw Dade St, Madison, FL 32340-2361 | 2012-11-06 |
Street Address |
FAIRFAX ROAD AT VIRGINIA ST. |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84103-4399 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
Find all providers in zip 84103 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437533932 | Krystal Ahlstrom | Specialist | 544 E Wilmington Ave, Salt Lake City, UT 84106-1419 | 2015-07-14 |
1528460607 | John Miller Holman Jr. | Specialist | 4765 S Ichabod St, Salt Lake City, UT 84117-6461 | 2014-09-21 |
1750795423 | Judy Denise Wall | Specialist | 4425 S Camille St, Salt Lake City, UT 84124-3624 | 2014-06-20 |
1821434424 | Robert Bradley Wray | Specialist | 2665 E. Parleys Way, #204, Salt Lake City, UT 84109-1672 | 2013-05-22 |
1295170850 | Rodolphe Ruffy | Specialist | 4228 S Park Terrace Dr, Salt Lake City, UT 84124-3417 | 2013-05-08 |
1063857159 | Afshin Ahmadiyan | Specialist | 2431 E Catalina Dr, Salt Lake City, UT 84121-3939 | 2013-05-03 |
1508112426 | Floyd Jackson Millet | Specialist | 2015 Scenic Dr, Salt Lake City, UT 84108-3317 | 2012-07-29 |
1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
1437422995 | Brent Farr Robertson | Specialist | 1321 E South Temple, 5, Salt Lake City, UT 84102-1830 | 2012-02-14 |
1861787756 | William Halls | Specialist | 171 3rd Ave, # 310, Salt Lake City, UT 84103-5006 | 2011-06-18 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84103 |
Please comment or provide details below to improve the information on MR. ERIC ROSS 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.