DR. PAUL J GREENE (NPI# 1831112564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831112564 |
| Entity Type | Individual |
| Full Name | DR. PAUL J GREENE |
| Credential | D.O. |
| Practice Address |
373 Cecil D Quillen Dr Suite 101 Duffield VA 24244-4085 |
| Mailing Address |
300 Pendleton Smith Rd Chuckey TN 37641-2001 |
| Practice Telephone | 2764311638 |
| Practice Fax Number | 2764311639 |
| Mailing Telephone | 2764311638 |
| Mailing Fax Number | 2764311639 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102037209 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE RURAL HEALTH PTAN | 498901 | 01 |
| VA | BCBS | 195953 | 01 |
| VA | 010081742 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811046378 | Paul David Greene | Marriage & Family Therapist | 521 Lanarkshire Pl, Lexington, KY 40509-2294 | 2007-01-10 |
| 1477620540 | Paul Greene | Psychiatry & Neurology | 800 Howard Ave Ste Lower, New Haven, CT 06519 | 2006-11-30 |
| 1669563862 | Paul Arthur Greene | Psychologist | 68 Lambert Ln, New Rochelle, NY 10804-1010 | 2006-09-27 |
| 1275591331 | Paul T Greene Jr. | Chiropractor | 2100 Kansas Ave, Great Bend, KS 67530-2516 | 2006-05-01 |
| 1073824769 | Paul F Greene | Physical Therapist | 1400 Bellinger St, Eau Claire, WI 54703 | 2010-06-28 |
| 1184664104 | Paul Greene | Psychologist | 5110 12th Ave, Brooklyn, NY 11219-3424 | 2006-06-07 |
| Street Address |
373 CECIL D QUILLEN DR SUITE 101 |
| City | DUFFIELD |
| State | VA |
| Zip Code | 24244-4085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487681771 | Regional Health Resources, Inc | Clinic/Center | 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244-4085 | 2006-06-26 |
| 1437379922 | Gail R Feagins | Social Worker | 373 Cecil D Quillen Dr, Ste 101, Duffield, VA 24244-4085 | 2007-04-26 |
| 1841415619 | Regional Health Resources Inc | Clinic/Center | 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244-4085 | 2007-04-16 |
| 1659495356 | Johnny R Shupe | Nurse Practitioner | 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244-4085 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144646944 | Family Preservation Services, Inc. | Community/Behavioral Health | 355 Cecil D. Quillen Drive, Duffield, VA 24244 | 2014-03-17 |
| 1063710804 | Family Preservation Services, Inc | Early Intervention Provider Agency | 225 Boone Trail Road, Duffield, VA 24244 | 2011-03-03 |
| 1689998189 | Richard S Nicholas | Naturopath | 121 Advanced Technology Drive, Duffield, VA 24244 | 2010-03-26 |
| 1508042813 | Family Preservation Services, Inc | Community/Behavioral Health | 663 Duff-patt Highway, Duffield, VA 24244 | 2008-01-16 |
| 1225152903 | Jon Delmes Holmes | Technician, Other | 1100 Us Hwy 58, Doffield, VA 24244 | 2007-03-19 |
| 1255455937 | Francis Clark Roach | Technician, Other | 103 Fraley Avenue, Park Place, Duffield, VA 24244 | 2007-03-19 |
| 1902920036 | Lawrence Ray Castle | Counselor | 4907 Boonetrail Rd, Independence Unlimited, Duffield, VA 24244 | 2007-03-16 |
| 1598803892 | Brandi Suzette Dingus | Counselor | 1100 Hwy 58, Duffield, VA 24244 | 2007-02-01 |
| 1811035165 | Elois P Wampler | Counselor | 4907 Boone Trail Road, Indpendence Unlimited, Duffield, VA 24244 | 2007-02-01 |
| 1235280892 | Frontier Health | Day Training, Developmentally Disabled Services | 4907 Boone Trail Rd, Duffield, VA 24244 | 2007-01-12 |
| Find all providers in zip 24244 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566360 | James Bryston Winegar | Family Medicine | 153 Ross Carter Blvd, Duffield, VA 24244 | 2005-05-24 |
| 1083617179 | Fred Merkel | Family Medicine | 153 Ross Carter, Duffield, VA 24244 | 2005-05-23 |
| 1265443410 | Olimpo Fernando Fonseca | Family Medicine | 134 Cecil D Quillen Dr, Duffield, VA 24244-9726 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356554 | Sarah Keaton | Family Medicine | 380 Maple Rd, Callands, VA 24530-2538 | 2020-11-05 |
| 1306443684 | Montage Health and Wellness Corp | Family Medicine | 305 E Market St Ste O, Leesburg, VA 20176-4169 | 2020-10-08 |
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1811509599 | Crystal Dawn Lowder-tibbs | Family Medicine | 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 | 2020-08-23 |
| 1578173837 | Ohio Valley Physicians Inc | Family Medicine | 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | 2020-08-03 |
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1134737265 | Joshua Fleming | Family Medicine | 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 | 2020-07-15 |
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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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.