DR. GARY A GREEN (NPI# 1801896816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801896816 |
| Entity Type | Individual |
| Full Name | DR. GARY A GREEN |
| Credential | DPM |
| Practice Address |
670 Shepard Ln Suite 102 Farmington UT 84025-3936 |
| Practice Telephone | 8014517500 |
| Practice Fax Number | 8014516966 |
| Mailing Telephone | 8014517500 |
| Mailing Fax Number | 8014516966 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2007-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 104878-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114167731 | Gary Lane Green | Counselor | 1232 W Poplar St, Rogers, AR 72756-4246 | 2009-02-21 |
| 1376765222 | Gary Joel Green | Dentist | 4646 Lindell Blvd, Saint Louis, MO 63108-3702 | 2007-05-02 |
| 1770561615 | Gary Lee Green | Internal Medicine | 400 Enterprise Dr, Scarborough, ME 04074-7662 | 2006-01-01 |
| 1780682336 | Gary Randall Green | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 750 East Adams St, Syracuse, NY 13210 | 2005-07-08 |
| 1427532761 | Gary Green | Counselor | 270 Carpenter Dr Ste 400, Sandy Springs, GA 30328-4933 | 2018-09-22 |
| 1891055687 | Gary Blaine Green | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-5823 | 2012-05-25 |
| 1770876716 | Gary Michael Green | Emergency Medicine | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2011-05-24 |
| 1801114657 | Gary Ronald Green | Chiropractor | 2292 W Magee Rd, Suite 170, Tucson, AZ 85742-4301 | 2010-05-04 |
| 1306095393 | Gary Wayne Green | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2008-09-15 |
| 1730372210 | Gary D Green | Counselor | 1820 Central Ave, Hot Springs, AR 71901-6847 | 2007-08-20 |
| Street Address |
670 SHEPARD LN SUITE 102 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477834067 | Tiffany Riley | Physician Assistant | 670 Shepard Ln, Suite 103, Farmington, UT 84025-3936 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710175872 | J Garey Ritchie | Podiatrist | 904 E 20th St Ste C, Farmington, NM 87401-4281 | 2007-10-13 |
| 1336367416 | Sandy River Podiatry, Pa | Podiatrist | 114 Perham St, Farmington, ME 04938-1520 | 2007-04-23 |
| 1891836243 | David S Ungar Dpm PC | Podiatrist | 34435 Grand River, Farmington, MI 48335 | 2007-02-09 |
| 1528172871 | Samuel C Carpenter | Podiatrist | 304 S Lake St, Ste 104, Farmington, NM 87401-5659 | 2006-08-17 |
| 1093743502 | Brian Keith Wagner | Podiatrist | 11 South Rd Lowr Level20, Farmington, CT 06032-2483 | 2006-06-30 |
| 1467424168 | Jeffrey M. Tencer | Podiatrist | 1055 Farmington Ave, Farmington, CT 06032-1511 | 2006-02-06 |
| 1699775015 | David Sam Ungar | Podiatrist | 34435 Grand River Ave, Farmington, MI 48335-3309 | 2005-07-28 |
| 1295112464 | Nighat Hussain | Podiatrist | 263 Farmington Avenue, Farmington, CT 06030-4038 | 2015-04-27 |
| 1871812057 | Scott W. Lindsay, Dpm | Podiatrist | 1055 Farmington Ave, Farmington, CT 06032-1573 | 2010-05-27 |
| 1497823348 | Scott William Lindsay | Podiatrist | 1055 Farmington Ave, Farmington, CT 06032-1511 | 2006-11-30 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on DR. GARY A 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.