DR. MICHAEL A GREENE (NPI# 1811215254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811215254 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A GREENE |
| Credential | D.O. |
| Practice Address |
1821 Blanding Blvd Ste 1 Middleburg FL 32068 |
| Mailing Address |
7855 Argyle Forest Blvd Ste 101 Jacksonville FL 32244-5597 |
| Practice Telephone | 9044063160 |
| Practice Fax Number | 9044063159 |
| Mailing Telephone | 9042826331 |
| Mailing Fax Number | 9042824117 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
OS13010 | FL | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
OS13010 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3839 County Road 218e, Middleburg, FL 32068 | 9044063160 | 9044063159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841764289 | Michael Cayman Greene | Specialist/Technologist | 1125 Monte Vista Ave Apt 4, Las Cruces, NM 88001-5693 | 2019-01-18 |
| 1568867117 | Michael Greene | Massage Therapist | 336 W Bedford Ave, Suite 108, Fresno, CA 93711-6185 | 2014-10-24 |
| 1073946026 | Michael David Greene | General Practice | 501 Whipporwill Dr, Morehead, KY 40351-8869 | 2013-08-13 |
| 1083755243 | Michael Shane Greene | Pharmacist | 20381 Arch St, Little Rock, AR 72206-9218 | 2007-02-09 |
| 1205941226 | Michael Laxton Greene Sr. | Dentist | 711 Blue Hills Ave, Hartford, CT 06112 | 2006-08-20 |
| 1629012711 | Michael Smith Greene | Chiropractor | 529 Se 2nd St, Suite C, Lees Summit, MO 64063-2646 | 2006-06-16 |
| 1770521023 | Michael Greene | Radiology | 145 4th Ave Apt 14g, New York, NY 10003-4922 | 2006-06-02 |
| 1326496746 | Michael David Greene II | Emergency Medicine | 450 E Romie Ln, Salinas, CA 93901-4029 | 2016-05-26 |
| 1265892103 | Michael Joel Greene | Chiropractor | 490 Klutey Park Plaza Dr, Henderson, KY 42420-3348 | 2016-03-04 |
| 1912295502 | Michael Aaron Greene | Internal Medicine | 33155 Annapolis St, Wayne, MI 48184-2405 | 2011-07-15 |
| Street Address |
1821 BLANDING BLVD STE 1 |
| City | MIDDLEBURG |
| State | FL |
| Zip Code | 32068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558323444 | Richard Gamiz | Physician Assistant | 1821 Blanding Blvd Ste 1, Middleburg, FL 32068-3839 | 2006-04-05 |
| 1659798940 | Pavel Balduyeu | Anesthesiology | 1821 Blanding Blvd Ste 1, Middleburg, FL 32068-3839 | 2014-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084174 | Christopher Littles | Technician | 3122 Angora Bay Dr, Middleburg, FL 32068 | 2018-12-16 |
| 1730685157 | Children's Express Care Clinic | Pediatrics | 430 College Drive, Suite 100-102, Middleburg, FL 32068 | 2018-04-04 |
| 1588162762 | Lp Sw Jacksonville, LLC | Skilled Nursing Facility | 1280 Henley Road, Middleburg, FL 32068 | 2018-01-23 |
| 1396264982 | Michael Jessie Visita Roberts | Physical Therapy Assistant | 1648 St. Vincents Way, 100b, Middleburg, FL 32068 | 2017-09-14 |
| 1093239915 | Kevia Hart | In Home Supportive Care | 2718 Tina Lane, Middleburg, FL 32068 | 2017-08-02 |
| 1366899825 | Serena Burr | Midwife | 1986 Friendly Pl, Middleburg, FL 32068 | 2016-05-15 |
| 1932573672 | Jamie Dietrich | Physical Therapist | 2583-3 County Road 220, Middleburg, FL 32068 | 2015-11-18 |
| 1154791614 | Katherine Wenger | Physical Therapist | 2580-3 Country Road 220, Suite 3, Middleburg, FL 32068 | 2015-09-28 |
| 1699024240 | Amanda Copeland | Speech-Language Pathologist | 2823 Woodstone Dr., Middleburg, FL 32068 | 2012-08-29 |
| 1194089243 | Good Samaritan Home Companion Services, Inc. | In Home Supportive Care | 3689 Main Street, Middleburg, FL 32068 | 2012-07-03 |
| Find all providers in zip 32068 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
| 1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
| 1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
| 1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
| 1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
| 1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
| 1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
| 1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
| 1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
| 1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG |
| Zip Code | 32068 |
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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.