DEMETRIS A. GREEN, SR. MD PA (NPI# 1740678770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740678770 |
| Entity Type | Organization |
| Organization Name | DEMETRIS A. GREEN, SR. MD PA |
| Other Organization Name | SIRTE MED PRIMARY CARE |
| Practice Address |
2646 S Loop W Suite 220 Houston TX 77054-2665 |
| Practice Telephone | 7138089658 |
| Practice Fax Number | 2815013075 |
| Mailing Telephone | 7138089658 |
| Mailing Fax Number | 2815013075 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |
| Authorized Official Name | DR. DEMETRIS ALLEN GREEN SR. (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7138089658 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sirte Med Primary Care | Doing Business As Name - Organization |
| Street Address |
2646 S LOOP W SUITE 220 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790783819 | Newchannel Incorporated | Durable Medical Equipment & Medical Supplies | 2646 S Loop W, Suite 270 & 270a, Houston, TX 77054-2665 | 2005-07-12 |
| 1174166904 | Brenda Thomas | Nurse Practitioner | 2646 S Loop W, Houston, TX 77054-2665 | 2019-10-24 |
| 1912550112 | Alozie Bright Amayaka | Nurse Practitioner | 2646 S Loop W, Houston, TX 77054-2665 | 2019-07-17 |
| 1124477336 | Siblings Healthcare Solutions LLC | Home Health | 2646 S Loop W, Suite 355, Houston, TX 77054-2665 | 2016-06-08 |
| 1013366335 | Tmc Pain Surgical Center | Clinic/Center | 2646 S Loop W, Suite 140, Houston, TX 77054-2665 | 2016-06-07 |
| 1982079307 | Pediatric Executives | Pediatrics | 2646 S Loop W, Suite 400, Houston, TX 77054-2665 | 2015-12-10 |
| 1053785097 | Ken Pratt | Pediatrics | 2646 S Loop W, Suite 400, Houston, TX 77054-2665 | 2015-11-13 |
| 1710384920 | Prestige Transportation Services | Non-emergency Medical Transport (VAN) | 2646 S Loop W, 505g, Houston, TX 77054-2665 | 2014-12-03 |
| 1356746200 | Sunset Labs, LLC | Clinical Medical Laboratory | 2646 S Loop W, Suite 665, Houston, TX 77054-2665 | 2014-11-04 |
| 1669876553 | Cclinic LLC | Anesthesiology | 2646 S Loop W, Suite 665, Houston, TX 77054-2665 | 2014-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
| Find all providers in zip 77054 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151472 | Canice Chukwuocha | General Practice | 3030 Elmside Dr Apt 179, Houston, TX 77042-3926 | 2020-07-15 |
| 1902424518 | Medkare | General Practice | 2426 Lake Kolbe Ln, Houston, TX 77080-2562 | 2020-07-09 |
| 1477191757 | Holistic Innovative Interventional Pain Associates Pllc | General Practice | 4615 Southwest Freeway #850, Houston, TX 77027 | 2019-12-17 |
| 1467019109 | Eldere Germain | General Practice | 5850 Duxbury St, Houston, TX 77035-4211 | 2019-05-28 |
| 1235697822 | Joy Ileruwa Ebomwonyi | General Practice | 17567 Imperial Valley Dr, Houston, TX 77060-7706 | 2019-03-04 |
| 1194295030 | Westheimer Medical Group Pllc | General Practice | 5433 Westheimer Rd Ste 275, Houston, TX 77056-5331 | 2018-12-04 |
| 1538639638 | Clear Mind Agency LLC | General Practice | 1300 N Post Oak Rd, Houston, TX 77055-5431 | 2018-11-30 |
| 1346739158 | Abc Solutions Group Corp | General Practice | 10333 Harwin Dr Ste 530l, Houston, TX 77036-1545 | 2018-05-07 |
| 1073018768 | V & V Medical Management | General Practice | 13626 Veterans Memorial Dr Ste F, Houston, TX 77014 | 2018-03-26 |
| 1942703525 | Victor Yosef Melt Campos | General Practice | 1220 W Pierce St, Houston, TX 77019-4146 | 2018-03-09 |
| Find all providers in HOUSTON | ||||
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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.