ADAM W. GREEN (NPI# 1679936462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679936462 |
| Entity Type | Individual |
| Full Name | ADAM W. GREEN |
| Credential | M.D. |
| Practice Address |
55 Lake Ave N Worcester MA 01655-0002 |
| Practice Telephone | 5083341000 |
| Mailing Telephone | 5083341000 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942664453 | Adam Hayes Green | Student in an Organized Health Care Education/Training Program | 2804 Lakeshore Dr, Ruston, LA 71270-2424 | 2016-04-11 |
| 1366466278 | Adam S Green | Physical Therapist | 467 Boulevard, Kenilworth, NJ 07033-1664 | 2006-07-26 |
| 1881692127 | Adam Wayne Green | Chiropractor | 2710 Broadway Extension, Parkersburg, WV 26101-6856 | 2005-07-11 |
| 1346732492 | Adam M Green | Orthopaedic Surgery | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2018-06-05 |
| 1750804050 | Adam S Green | Military Health Care Provider | 159 Trout Ave, Groton, CT 06340 | 2017-07-19 |
| 1558794768 | Adam Adair Green | Marriage & Family Therapist | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2013-08-12 |
| 1871882258 | Adam Godfrey Green | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2011-04-06 |
| 1861620213 | Adam W. Green | Anesthesiology | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2009-06-24 |
| 1417003039 | Adam L. Green | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-01-26 |
| 1801946975 | Adam Stanley Green | Internal Medicine | 1055 N 500 W, #112 Bldg C, Provo, UT 84604-3305 | 2007-01-11 |
| Street Address |
55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661927 | Ekaterina V Pimental | Student in an Organized Health Care Education/Training Program | 72 Salisbury St Apt 5, Worcester, MA 01609-3134 | 2020-05-19 |
| 1841810900 | Charles Purcell | Student in an Organized Health Care Education/Training Program | 80 Carter Rd, Worcester, MA 01609-1038 | 2020-04-19 |
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1982232336 | Min Zhang | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr. Biotech 3, Worcester, MA 01605-4306 | 2020-03-31 |
| 1336777952 | Zhenwei Zhang | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr Ste 2, Worcester, MA 01605-4306 | 2020-03-30 |
| 1932736634 | Gregory Stephen Kazarian | Student in an Organized Health Care Education/Training Program | 2 Marissa Cir, Worcester, MA 01604-2674 | 2020-03-24 |
| 1376178590 | Seungju Oh | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N # S4-740, Worcester, MA 01655-0002 | 2020-03-09 |
| 1962032946 | Samuel James Casey | Student in an Organized Health Care Education/Training Program | 4 Normal St Apt 2, Worcester, MA 01605-3496 | 2020-01-18 |
| 1265072169 | Klajdi Kosovrasti | Student in an Organized Health Care Education/Training Program | 46 Fox Meadow Dr, Worcester, MA 01602-2242 | 2020-01-09 |
| 1669012449 | Jacob Moninghoff | Student in an Organized Health Care Education/Training Program | 16 Norton St Apt 1, Worcester, MA 01605-3780 | 2020-01-09 |
| Find all providers in WORCESTER | ||||
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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.