MR. ERIC ROSS GREEN


Address: Fairfax Road At Virginia St., Salt Lake City, UT 84103-4399
Phone: 8015363820

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Providers ERIC GREEN

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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

Office Location

Street Address FAIRFAX ROAD AT VIRGINIA ST.
City SALT LAKE CITY
State UT
Zip Code 84103-4399

Providers in the same zip code

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 Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SALT LAKE CITY
Zip Code 84103

Improve Information

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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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