DR. CHRISTOPHER S GREEN (NPI# 1902284342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902284342 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER S GREEN |
| Other Name | CHRIS S GREEN |
| Credential | MD |
| Practice Address |
2705 N Lebanon St Ste 300 Lebanon IN 46052 |
| Mailing Address |
2705 N Lebanon St Ste 305 Lebanon IN 46052-8622 |
| Practice Telephone | 7654858649 |
| Practice Fax Number | 7654858650 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01080947A | IN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 01080947A | IN | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 01080947A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 Riley Hospital Dr, Riley 5867, Indianapolis, IN 462025109 | 3179480003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093227027 | Christopher Green | Hearing Instrument Specialist | 29 Park Ridge Dr Ste A, Stevens Point, WI 54481-4438 | 2017-10-31 |
| 1356793251 | Christopher Green | Student in an Organized Health Care Education/Training Program | 3816 N Main St, Jacksonville, FL 32206-1450 | 2016-07-05 |
| 1255787826 | Christopher Green | Student in an Organized Health Care Education/Training Program | 149 26th St Nw, Apt 1206, Atlanta, GA 30309-2065 | 2016-05-12 |
| 1871984872 | Christopher Isaiah Green | Massage Therapist | 3832 156th St Sw, H305, Lynnwood, WA 98087-8451 | 2015-02-12 |
| 1245647726 | Christopher Green | Specialist/Technologist | 7437 Wilkins Dr, Fayetteville, NC 28311-9434 | 2014-07-17 |
| 1184062747 | Christopher Michael Green | Dentist | 19551 Hess Road, Suite 100, Parker, CO 80134 | 2013-06-05 |
| 1013103811 | Christopher Canfield Green | Family Medicine | 50723 Harbour View Dr S, Med:for, Inc, New Baltimore, MI 48047-4347 | 2007-09-15 |
| 1518006808 | Christopher John Green | Dentist | 6422 W 107th St, Chicago Ridge, IL 60415 | 2007-02-05 |
| 1700897774 | Christopher Brian Green | Internal Medicine | 5220 Park Ave Ste 150, Memphis, TN 38119-3548 | 2006-08-11 |
| 1306812094 | Christopher G Green | Pediatrics | 7985 Stagecoach Rd, Cross Plains, WI 53528-9795 | 2006-02-23 |
| Street Address |
2705 N LEBANON ST STE 300 |
| City | LEBANON |
| State | IN |
| Zip Code | 46052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215923941 | James Anthony Boudreau | Family Medicine | 2705 N Lebanon St Ste 300, Lebanon, IN 46052-8622 | 2005-09-27 |
| 1851896260 | Leslie Michele Phillips | Nurse Practitioner | 2705 N Lebanon St Ste 300, Lebanon, IN 46052 | 2018-03-27 |
| 1003136011 | Emma Joy Nordstrom | Family Medicine | 2705 N Lebanon St Ste 300, Lebanon, IN 46052-8622 | 2010-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
| 1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
| 1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
| Find all providers in zip 46052 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1043205008 | Thomas A Kowal | General Practice | 228 W Main St Ste B, Lebanon, TN 37087-2681 | 2005-09-15 |
| 1861993263 | Healthcare for Kids & Teens, Pllc | General Practice | 54 Miller Pike, Lebanon, KY 40033-9248 | 2018-02-22 |
| 1114451267 | Morgan Cameron Wimmer | General Practice | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2017-04-16 |
| 1619137825 | James Chad Greene | General Practice | 1 Medical Center Dr, Dhmc, Lebanon, NH 03756-1000 | 2008-06-11 |
| 1932392289 | Morris Dean Ferguson | General Practice | 500 Park Ave, Lebanon, TN 37087-3721 | 2007-08-21 |
| 1295805950 | Alice Peck Day Memorial Hospital | General Practice | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083235188 | Bonzer Medical, LLC | General Practice | 4423 S County Road 125 E, Greencastle, IN 46135-9237 | 2020-04-29 |
| 1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHRISTOPHER S 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.