MR. CHARLES WILLIAM GREEN (NPI# 1902127632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902127632 |
| Entity Type | Individual |
| Full Name | MR. CHARLES WILLIAM GREEN |
| Credential | NP-C |
| Practice Address |
500 Sentara Cir Suite 102 Williamsburg VA 23188-5727 |
| Practice Telephone | 7579849700 |
| Mailing Telephone | 7579849700 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024168772 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891285730 | Charles Green | Non-emergency Medical Transport (VAN) | 89 Hunt Ct Apt A, Columbia, SC 29206-5958 | 2018-05-16 |
| 1811266927 | Charles Perry Green | Community Health Worker | 3361 No Kid Rd, Kamiah, ID 83536-5002 | 2011-12-19 |
| 1336262559 | Charles Bruce Green | Family Medicine | Hq Usaf Sg, 1780 Air Force Pentagon, Washington, DC 20330-0001 | 2007-04-10 |
| 1588735146 | Charles Goodwin Green | Pharmacist | 221 S Midland Ave, Monroe, GA 30655-1629 | 2006-11-13 |
| 1073698189 | Charles Gary Green | Radiology | 60 Hall Street, Susanville, CA 96130 | 2006-10-26 |
| 1154801421 | Charles Green | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2018-08-16 |
| 1285110460 | Charles Jacob Green IIi | Social Worker | 2272 Collingwood Blvd, Toledo, OH 43620-1147 | 2018-07-11 |
| 1093226706 | Charles Levon Green | Counselor | 803 W 4th Street, Suite D, Pueblo, CO 81003 | 2017-10-20 |
| 1124471784 | Charles Green | Counselor | 684 Ellis St, San Francisco, CA 94109-8090 | 2016-07-19 |
| 1528283926 | Charles Joseph Green | Orthopaedic Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2007-04-13 |
| Street Address |
500 SENTARA CIR SUITE 102 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-5727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067014 | Mark Phillip Moniz | Surgery | 500 Sentara Cir, Suite 202, Williamsburg, VA 23188-5727 | 2005-07-18 |
| 1093129132 | Virginia Oncology Associates | Non-Pharmacy Dispensing Site | 500 Sentara Cir, Suite 203, Williamsburg, VA 23188-5727 | 2014-06-17 |
| 1265715932 | Mary Immaculate Hospital | Obstetrics & Gynecology | 500 Sentara Cir, Suite 102, Williamsburg, VA 23188-5727 | 2011-09-20 |
| 1861720310 | Sentara Medical Group | Surgery | 500 Sentara Cir, Suite 202a, Williamsburg, VA 23188-5727 | 2009-11-20 |
| 1447411780 | Rebecca L Lofgren | Surgery | 500 Sentara Cir, Ste 202, Williamsburg, VA 23188-5727 | 2008-06-19 |
| 1881800274 | Sentara Medical Group | Surgery | 500 Sentara Cir, Ste 202, Williamsburg, VA 23188-5727 | 2007-05-15 |
| 1437363975 | Sentara Medical Group | Internal Medicine | 500 Sentara Cir, Suite 102, Williamsburg, VA 23188-5727 | 2007-05-10 |
| 1669684346 | Sentara Medical Group | Psychiatry & Neurology | 500 Sentara Cir, Suite 102, Williamsburg, VA 23188-5727 | 2007-05-04 |
| 1265559769 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 500 Sentara Cir, Ste 103, Williamsburg, VA 23188-5727 | 2007-03-22 |
| 1881783231 | Daynelle M Dedmond | Obstetrics & Gynecology | 500 Sentara Cir, Ste 102, Williamsburg, VA 23188 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1689286346 | Jamie Butt | Nurse Practitioner | 4175 Ironbound Rd, Williamsburg, VA 23188-2944 | 2020-08-23 |
| 1477187557 | Yvette Dawn Grijalva | Nurse Practitioner | 811 Schooner Blvd, Williamsburg, VA 23185-5297 | 2020-02-27 |
| 1164068250 | Kelly Ann Riley | Nurse Practitioner | 120 Kings Way Ste 3100, Williamsburg, VA 23185-2506 | 2019-11-23 |
| 1083261937 | Lola A Meadors | Nurse Practitioner | 65 N Highway 25 W, Williamsburg, KY 40769-1540 | 2019-08-23 |
| 1396204319 | Shannon Leigh Dishman | Nurse Practitioner | 457 Mclaws Cir Ste 1, Williamsburg, VA 23185-5645 | 2019-03-19 |
| 1174930994 | Nancy Jallo | Nurse Practitioner | 604 Dam Lake Ct, Williamsburg, VA 23185-2796 | 2014-07-14 |
| 1669891966 | Jill L Bryant Aprn LLC | Nurse Practitioner | 406 N Highway 25 W, Williamsburg, KY 40769-1545 | 2014-04-15 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| 1154301968 | Janet Gibson | Nurse Practitioner | 1600 Richmond Rd, Williamsburg, VA 23185-2724 | 2006-01-18 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
Please comment or provide details below to improve the information on MR. CHARLES WILLIAM 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.