DR. REID MICHAEL GREEN (NPI# 1750708954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750708954 |
| Entity Type | Individual |
| Full Name | DR. REID MICHAEL GREEN |
| Credential | MD |
| Practice Address |
600 Village Square Xing Palm Beach Gardens FL 33410 |
| Mailing Address |
628 Sugarwood Ct Venice FL 34292-3919 |
| Practice Telephone | 5616949493 |
| Mailing Telephone | 9412236838 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME135207 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1096 W Indiantown Rd, Jupiter, FL 334586855 | 5612222200 |
| Street Address |
600 VILLAGE SQUARE XING |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565461 | Ronald G. Bush | Specialist | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2005-08-11 |
| 1386008373 | Sydney Vanhoose | Nurse Practitioner | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2016-04-06 |
| 1174868459 | Claudia Alejandra Vera | Physician Assistant | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2012-11-28 |
| 1336438753 | Kerry Kathleen Shaughnessy | Dermatology | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2011-04-06 |
| 1255620233 | Laura Anne Greyling | Dermatology | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2011-03-30 |
| 1851699698 | Marianne Pineda | Physician Assistant | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2011-03-02 |
| 1619282514 | Shanna Leigh Stone | Nurse Practitioner | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2010-08-16 |
| 1679705677 | Christopher Ryan Spock | Dermatology | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2009-08-10 |
| 1538394960 | Alissa Kate O'brien | Dermatology | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2009-05-29 |
| 1679749444 | Clarnuelyn Ho Pajo Silao | General Practice | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2008-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609135599 | Amanda Kristine Suggs | Dermatology | 11030 Rca Center Dr Ste 3015, Palm Beach Gardens, FL 33410-4276 | 2012-05-11 |
| 1528149309 | Donna Ann Zeide | Dermatology | 94 Dunbar Rd E, Palm Beach Gardens, FL 33418-6830 | 2006-10-18 |
| 1134148992 | Water's Edge Dermatology, LLC | Dermatology | 600 Village Square Crossing, Palm Beach Gardens, FL 33410 | 2006-07-19 |
| 1447214127 | Michael Ted Borenstein | Dermatology | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2006-04-12 |
| 1104885474 | Jon Raymond Morgan | Dermatology | 11505 Fairchild Gardens Ave, Suite 101, Palm Beach Gardens, FL 33410-2847 | 2006-03-23 |
| 1700221652 | Juno Dermatology, LLC | Dermatology | 3801 Pga Blvd, Suite 107, Palm Beach Gardens, FL 33410-2758 | 2013-05-06 |
| 1255620233 | Laura Anne Greyling | Dermatology | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2011-03-30 |
| 1679705677 | Christopher Ryan Spock | Dermatology | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2009-08-10 |
| 1538394960 | Alissa Kate O'brien | Dermatology | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2009-05-29 |
| 1518124759 | Anna Krishtul | Dermatology | 3801 Pga Blvd, Ste 107, Palm Beach Gardens, FL 33410-2758 | 2008-05-16 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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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.