LEE CLARK GREEN (NPI# 1831614361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831614361 |
| Entity Type | Individual |
| Full Name | LEE CLARK GREEN |
| Credential | EMT-B |
| Practice Address |
1410 S Telegraph Rd Bloomfield Hills MI 48302-0046 |
| Mailing Address |
2500 Mann Rd Lot 141 Clarkston MI 48346-4271 |
| Practice Telephone | 2484568150 |
| Mailing Telephone | 2484102793 |
| Enumeration Date | 2017-08-05 |
| Last Update Date | 2017-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 3203058614 | MI | Emergency Medical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396170577 | Lee Farrell Green | Specialist | 7663 Jericho Tpke, Woodbury, NY 11797-1703 | 2013-09-06 |
| 1790966158 | Lee Ann Green | Technician | 57835 Haase St, Plaquemine, LA 70764-3329 | 2007-11-14 |
| 1346393329 | Lee A. Green | Psychologist | 2650 Bahia Vista St Ste 201, Sarasota, FL 34239-2625 | 2007-01-21 |
| 1518055045 | Lee A Green | Family Medicine | 1801 Briarwood Cir, Ann Arbor, MI 48108-3347 | 2006-10-10 |
| 1306807433 | Lee Green | Radiology | 934 Center St, Elgin, IL 60120-2125 | 2006-03-29 |
| Street Address |
1410 S TELEGRAPH RD |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-0046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578720090 | Talia Danielle Mcnamara | Psychiatry & Neurology | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2008-05-21 |
| 1336631944 | Eric Randell Simmons | Emergency Medical Technician, Basic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-05-31 |
| 1881192219 | Anderia Jackson | Registered Nurse | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-31 |
| 1659879872 | Jeffrey Good | Emergency Medical Technician, Paramedic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-23 |
| 1396253639 | Ryan Wells | Emergency Medical Technician, Paramedic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-22 |
| 1053828137 | Kevin Ezell Sanders | Counselor | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-10 |
| 1700398211 | Barry O'malley | Specialist/Technologist, Other | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2017-10-25 |
| 1871003673 | Valeria Diaz | Case Manager/Care Coordinator | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2017-10-06 |
| 1053841825 | Susan Rebecca Malott | Registered Nurse | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2017-06-14 |
| 1144675836 | Joyce Danielle Clark-flood I | Registered Nurse | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2016-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336631944 | Eric Randell Simmons | Emergency Medical Technician, Basic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938001 | Thomas Merkle | Emergency Medical Technician, Basic | 1036 Bowen Ln, Quincy, MI 49082-8407 | 2020-06-25 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1780225169 | Clarissa Marie Baraiac | Emergency Medical Technician, Basic | 26366 Wolverine St, Madison Heights, MI 48071-3714 | 2019-10-07 |
| 1265092589 | Mari I Debolt | Emergency Medical Technician, Basic | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-18 |
| 1265919120 | Samuel Lee Buckley IIi | Emergency Medical Technician, Basic | 1200 N Telegraph Rd # Bdlg32e, Pontiac, MI 48341-1032 | 2018-07-24 |
| 1144737594 | Taylor Hoekwater | Emergency Medical Technician, Basic | Central Michigan University Health Professions Ofc 1205, Mount Pleasant, MI 48859-0001 | 2018-01-08 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1639543374 | Tyler Alley | Emergency Medical Technician, Basic | 4267 Monroe St, Ecorse, MI 48229-1519 | 2015-11-18 |
| 1497122881 | Kyle Andre St. Peter | Emergency Medical Technician, Basic | 41641 Utica Rd, Sterling Heights, MI 48313-3264 | 2015-09-01 |
| 1205242294 | Pennfield Twp Fire Dept | Emergency Medical Technician, Basic | 20260 Capital Ave Ne, Battle Creek, MI 49017-9727 | 2014-07-10 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
Please comment or provide details below to improve the information on LEE CLARK 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.