PHILLIP EDWARD GREEN (NPI# 1639697386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639697386 |
| Entity Type | Individual |
| Full Name | PHILLIP EDWARD GREEN |
| Practice Address |
800 E 28th St Minneapolis MN 55407-3723 |
| Mailing Address |
2040 Shenandoah Ct Unit C Plymouth MN 55447-6421 |
| Practice Telephone | 6128634000 |
| Mailing Telephone | 3202376548 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2126 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578593646 | Phillip Stewart Green | Social Worker | 19710 Ventura Blvd, Suite 203, Woodland Hills, CA 91364-2636 | 2006-07-04 |
| 1124075957 | Phillip M Green | Psychiatry & Neurology | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2006-05-27 |
| 1639175037 | Phillip Edward Green | Anesthesiology | 6005 Park Ave Ste 502, Memphis, TN 38119-5215 | 2005-06-22 |
| 1346658929 | Phillip Green | Counselor | 399 E Main St, Columbus, OH 43215-5384 | 2014-07-28 |
| 1538191812 | Phillip A Green | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104 | 2006-07-07 |
| Street Address |
800 E 28TH ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314765 | Judy Garza | Specialist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2005-05-27 |
| 1568069060 | Brooke Evensen | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-07 |
| 1558968172 | Taiya Brown | Dietitian, Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-06 |
| 1003413188 | Brandy Kozitza | Physical Medicine & Rehabilitation | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-02 |
| 1215554522 | Andrea Edwards | Genetic Counselor, MS | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-07-02 |
| 1740804350 | Danielle Krimmer | Registered Nurse | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-05-31 |
| 1225650005 | Kimberly Homan | Speech-Language Pathologist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-14 |
| 1568084630 | J&j Services, Inc | Durable Medical Equipment & Medical Supplies | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-12 |
| 1760011837 | Kayla Calhoun | Physical Therapist | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-04-02 |
| 1831727874 | Steven Thomas Schull | Student in an Organized Health Care Education/Training Program | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1942752571 | Amber Bakke | Nurse Anesthetist, Certified Registered | 5037 43rd Ave S, Minneapolis, MN 55417-1616 | 2016-10-31 |
| 1346796745 | John Swenson | Nurse Anesthetist, Certified Registered | 2401 Chicago Ave, Apt 211, Minneapolis, MN 55404-3888 | 2016-08-26 |
| 1972057230 | Kelly Langguth | Nurse Anesthetist, Certified Registered | 5912 10th Ave S, Minneapolis, MN 55417-3136 | 2016-08-04 |
| 1992155907 | Danielle Porter | Nurse Anesthetist, Certified Registered | 3437 Snelling Ave, Minneapolis, MN 55406-2637 | 2016-06-21 |
| 1346658218 | Justin Andreas Anderson | Nurse Anesthetist, Certified Registered | 225 8th Ave Ne, Minneapolis, MN 55413-1922 | 2014-07-23 |
| 1700162955 | James Douglas Berchild | Nurse Anesthetist, Certified Registered | 4315 10th Avenue South, Minneapolis, MN 55407 | 2011-11-01 |
| 1891097374 | Anita Patricia Johnson | Nurse Anesthetist, Certified Registered | 3132 Emerson Ave S Apt 1, Minneapolis, MN 55408-2717 | 2010-12-03 |
| 1578720843 | Teresa Losch | Nurse Anesthetist, Certified Registered | 2828 Chicago Ave Ste 300, Minneapolis, MN 55407-1573 | 2008-05-22 |
| 1679639520 | Margaret A Webinger | Nurse Anesthetist, Certified Registered | 2525 Chicago Avenue S, Childrens Hospital and Clinics of Minnesota, Minneapolis, MN 55404 | 2006-12-28 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.