TYLER DOUGLAS GREEN (NPI# 1700217494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700217494 |
| Entity Type | Individual |
| Full Name | TYLER DOUGLAS GREEN |
| Credential | C.N.P. |
| Practice Address |
7901 Schatz Pointe Dr Suite A Dayton OH 45459-3856 |
| Practice Telephone | 9374389841 |
| Practice Fax Number | 9374389851 |
| Mailing Telephone | 9374389841 |
| Mailing Fax Number | 9374389851 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2017-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
COA.15402-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0097903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914491 | Tyler Green | Physical Therapist | 4903 Fleetwood St, New Port Richey, FL 34653-5154 | 2020-08-25 |
| 1417390543 | Tyler Green | Internal Medicine | 2004 Airport Rd Sw Ste 212, Huntsville, AL 35801-5848 | 2013-04-08 |
| 1962640805 | Tyler Green | Physical Therapist | 2668 E Citizens Dr, Suite 5, Fayetteville, AR 72703-4796 | 2009-01-30 |
| 1831692326 | Tyler Green | Peer Specialist | 400 Tuscarawas St W, Canton, OH 44702-2044 | 2018-03-12 |
| 1922554658 | Tyler Green | Physical Therapist | 635 Locust Street, Unit 116, St. Louis, MO 63101 | 2016-09-01 |
| 1629412937 | Tyler Scott Green | Orthopaedic Surgery | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2013-04-18 |
| 1396992178 | Tyler S Green | Dentist | 2401 W Dolarway Rd, Ellensburg, WA 98926-9309 | 2008-08-22 |
| 1780849620 | Tyler J Green | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2008-07-21 |
| 1841461191 | Tyler Green | Counselor | 232 Cedar St, New Haven, CT 06519-1610 | 2008-03-14 |
| Street Address |
7901 SCHATZ POINTE DR SUITE A |
| City | DAYTON |
| State | OH |
| Zip Code | 45459-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819125 | Bradley Alan Weber | Radiology | 7901 Schatz Pointe Dr, Dayton, OH 45459-3856 | 2005-11-23 |
| 1861814188 | Synaptic Solutions LLC | Nurse Practitioner | 7901 Schatz Pointe Dr, Suite A, Dayton, OH 45459-3856 | 2014-01-07 |
| 1780823237 | S Jean Budding Inc | Registered Nurse | 7901 Schatz Pointe Dr, Suite A, Dayton, OH 45459-3856 | 2009-02-06 |
| 1861685802 | Usd Dayton, Inc. | Radiology | 7901 Schatz Pointe Dr, Dayton, OH 45459-3856 | 2007-08-23 |
| 1396962478 | Lynn M Carpenter | Audiologist | 7901 Schatz Pointe Dr, Dayton, OH 45459-3824 | 2007-04-19 |
| 1326172115 | Midstates Radiology Consultants | Radiology | 7901 Schatz Pointe Dr, Dayton, OH 45459-3856 | 2007-03-15 |
| 1871694679 | Jack C Lunderman Jr. | Psychiatry & Neurology | 7901 Schatz Pointe Dr, Suite A, Dayton, OH 45459-3856 | 2006-09-26 |
| 1235234352 | Michael S. Chune Do Inc. | Durable Medical Equipment & Medical Supplies | 7901 Schatz Pointe Dr, Ste. B, Dayton, OH 45459-3856 | 2006-09-13 |
| 1538103296 | Michael S. Chune Do Inc. | Nurse Practitioner | 7901 Schatz Pointe Dr, Ste. B, Dayton, OH 45459-3856 | 2006-06-15 |
| 1154308476 | Usd Dayton, Inc. | Clinic/Center | 7901 Schatz Pointe Dr, Dayton, OH 45459-3856 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540317 | Paul Jutte | Nurse Practitioner | 607 6th Ave, Dayton, KY 41074-1143 | 2020-05-21 |
| 1497363345 | Adrian Hope Bates | Nurse Practitioner | 732 Beckman St, Dayton, OH 45410-2165 | 2020-07-16 |
| 1871134734 | Hannah Elizabeth Cohan | Nurse Practitioner | 1222 S Patterson Blvd Ste 230, Dayton, OH 45402 | 2019-10-02 |
| 1952968638 | Olivia Susan Wilkinson | Nurse Practitioner | 7200 Rhea County Hwy, Dayton, TN 37321-6288 | 2019-05-28 |
| 1316412174 | Justine Holthaus | Nurse Practitioner | 4100 W 3rd St, Dayton, OH 45428-9000 | 2018-10-09 |
| 1922512821 | Amber Mckinney | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2017-11-30 |
| 1134647522 | Beverly J Cobb | Nurse Practitioner | 5350 Lamme Rd, Dayton, OH 45439 | 2017-09-06 |
| 1235683970 | Andrea Mercuri | Nurse Practitioner | 4100 W 3rd St, Mental Health Clinic, Dayton, OH 45428-9000 | 2016-08-11 |
| 1295186898 | Stephanie Louise Weigel | Nurse Practitioner | 600 Wayne Avenue, Dayton, OH 45410 | 2016-06-24 |
| 1376926253 | Melinda Kiser | Nurse Practitioner | 600 Wayne Ave, Dayton, OH 45410-1122 | 2015-07-09 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on TYLER DOUGLAS 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.