DR. JACOB T GREEN


Address: 6750 E Baywood Ave, 301, Mesa, AZ 85206-1749
Phone: 4808356100

DR. JACOB T GREEN (NPI# 1932384773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932384773
Entity Type Individual
Full Name DR. JACOB T GREEN
Credential M.D.
Practice Address 6750 E Baywood Ave
301
Mesa
AZ 85206-1749
Mailing Address 6402 E Superstition Springs Blvd Ste 224
Mesa
AZ 85206-4394
Practice Telephone 4808356100
Practice Fax Number 4805055295
Mailing Telephone 4808356100
Mailing Fax Number 4805055295
Enumeration Date 2007-12-28
Last Update Date 2016-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 054383 GA Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
41389 AZ Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
41389 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 424562 05

Other Providers JACOB GREEN

NPI Name Taxonomy Address Enumeration
1760096747 Jacob Alton Green Case Manager/Care Coordinator 750 N Freedom Blvd, Provo, UT 84601-1677 2020-09-07
1578188256 Jacob Irving Green Podiatrist 5451 Walnut Ave, Chino, CA 91710-2609 2020-06-09
1467086785 Jacob Green Community/Behavioral Health 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 2020-02-25
1669921789 Jacob Green Nurse Practitioner 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 2016-09-30
1801256292 Jacob Daniel Green Chiropractor 1908 Forest Dr, Suite 2-hi, Annapolis, MD 21401-4340 2016-02-29
1821058553 Jacob B. Green IIi Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 2006-03-25

Office Location

Street Address 6750 E BAYWOOD AVE
301
City MESA
State AZ
Zip Code 85206-1749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588657910 G Andrew Sulit Internal Medicine 6750 E Baywood Ave, Ste 401, Mesa, AZ 85206-1749 2005-08-31
1821441718 Amy Kleinhans Nurse Practitioner 6750 E Baywood Ave, Suite 301, Mesa, AZ 85206-1749 2016-07-15
1992193957 Robert James Mcleod Physician Assistant 6750 E Baywood Ave, Suite 503, Mesa, AZ 85206-1749 2014-12-29
1508264201 Suzanne Marie Woodhall Nurse Practitioner 6750 E Baywood Ave, Mesa, AZ 85206-1749 2014-12-11
1003243643 Marilyn Rose Schatz Nurse Practitioner 6750 E Baywood Ave, Suite 401, Mesa, AZ 85206-1749 2013-09-27
1780929141 Urologic Surgeons of Arizona Plc Internal Medicine 6750 E Baywood Ave, Ste 507, Mesa, AZ 85206-1749 2012-12-11
1720378276 Weston William Sanders Nurse Practitioner 6750 E Baywood Ave, Mesa, AZ 85206-1749 2011-04-17
1770762635 Banner Cardio-thoracic and Vascular Specialists Thoracic Surgery (Cardiothoracic Vascular Surgery) 6750 E Baywood Ave, Suite 504, Mesa, AZ 85206-1749 2007-10-29
1073712154 Denise Erickson Pharmacist 6750 E Baywood Ave, Mesa, AZ 85206-1749 2007-07-17
1407050834 Cardiology Care of Arizona PC Internal Medicine 6750 E Baywood Ave, Suite 503, Mesa, AZ 85206-1749 2007-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720693062 Inner Balance Counseling LLC Counselor 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 2020-09-14
1356978969 Choices 4 Change Counseling and Coaching LLC Social Worker 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 2020-03-24
1023651288 Jason Mcclure Hearing Instrument Specialist 5540 E Broadway Rd., Mesa, AZ 85206 2019-10-21
1255995361 Vhs of Phoenix Inc General Acute Care Hospital 5750 E. Baseline Rd., Mesa, AZ 85206 2019-04-24
1932682184 Adam Fishel Frose Psychologist 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 2018-09-13
1376024737 Robyn Kathleen Hall Psychologist 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 2018-08-23
1790264984 Perspective Health, LLC Clinic/Center 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 2018-08-09
1033605159 Rebecca Ann Maro Nurse Practitioner 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 2018-07-02
1982195624 Spark Performance and Physiotherapy Clinic/Center 6056 East Basline Road, Suite 147, Mesa, AZ 85206 2018-05-29
1336645993 Ashley Wright Audiologist-Hearing Aid Fitter 1423 S Higley Rd Ste 119, Mesa, AZ 85206 2018-04-03
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619407442 Modern Vascular Institute LLC Internal Medicine 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 2017-06-14
1770951980 Evolution Healthcare Management LLC Internal Medicine 7615 E Baseline Rd, Suite 101, Mesa, AZ 85209-8520 2015-09-03
1790730604 Pridhvi Rajakumar Yelamanchili Internal Medicine 2045 S Vineyard Ste 119, Mesa, AZ 85210-6889 2006-05-23
1245402346 Advanced Cardiac Specialists, Chartered Internal Medicine 4838 E Baseline Rd, Bldg 2, Suites 109-110, Mesa, AZ 85206-4671 2008-03-28
1407050834 Cardiology Care of Arizona PC Internal Medicine 6750 E Baywood Ave, Suite 503, Mesa, AZ 85206-1749 2007-06-11
1407065220 I-hui Chiang Internal Medicine 10238 E Hampton Ave, Ste 501, Mesa, AZ 85209-3321 2007-05-21
1386739613 Gurmit S Sandhu LLC Internal Medicine 1400 S Dobson Rd, Banner Desert Med Center, Mesa, AZ 85202-4707 2006-10-03
1407949738 Gurmit S Sandhu Internal Medicine 1400 S Dobson Rd, Banner Desert Medical Center, Mesa, AZ 85202-4707 2006-09-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972113546 Phoenician Cardiac Care LLC Internal Medicine 2228 W Northern Ave # D-209, Phoenix, AZ 85021-9369 2020-08-07
1174023584 Singh Cardiology, Pllc Internal Medicine 5170 E Glenn St Ste 130, Tucson, AZ 85712-7300 2018-02-13
1184122434 Coordinated Health of Az, LLC Internal Medicine 2155 W Pinnacle Peak Rd Ste 201c, Phoenix, AZ 85027-1201 2018-01-31
1912405796 Cardiac Cin of Tucson LLC Internal Medicine 5151 E Broadway Blvd Ste 1600a, Tucson, AZ 85711-3777 2018-01-26
1578007597 Rivera Physician Pllc Internal Medicine 4345 E Aliso Cyn, Phoenix, AZ 85044-5582 2016-12-09
1841650850 Cardiac Cath Lab of Phoenix, Lp Internal Medicine 1910 E Thomas Rd, Suite 101, Phoenix, AZ 85016-7766 2016-03-03
1699118240 Mohammed Tahir Hasoon Internal Medicine 9100 N 2nd St Ste 3100, Phoenix, AZ 85020-2446 2013-04-14
1124381637 Raviinder Mann Internal Medicine 3501 N Scottsdale Rd Ste 348, Scottsdale, AZ 85251-5650 2012-06-19
1518245844 Sunny Shyamsunder Jhamnani Internal Medicine 333 N Dobson Rd Ste 11, Chandler, AZ 85224-4412 2011-08-03
1710279625 Shivani Shodhan Internal Medicine 9100 N 2nd St Ste 321, Phoenix, AZ 85020-2459 2011-05-11
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Competitor

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City MESA
Zip Code 85206

Improve Information

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Dataset Information

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.

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