DR. CHRISTOPHER SELBY GREEN MD NPI 1205196607

NPI Information

NPI: 1205196607
Provider Name: DR. CHRISTOPHER SELBY GREEN, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Organization: GREENSBORO RADIOLOGY PA

PECOS Registration: Yes

Address:
1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Get Directions

DR. Christopher Selby Green, MD is a vascular and interventional radiology radiology in Tacoma, WA with 12 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Christopher Selby Green, MD NPI is 1205196607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Fax: (253) 761-4201

The NPI 1205196607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2012 and was last updated on 3/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	MD191346	OREGON	No
2	2085R0202X	Radiology	Diagnostic Radiology	MD60721597	WASHINGTON	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	MD60721597	WASHINGTON	Yes
4	2085R0204X	Radiology	Vascular & Interventional Radiology	MD191346	OREGON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0388745	OTHER	WASHINGTON	LNI-UAOM
2	2047933	MEDICAID	WASHINGTON
3	0388746	OTHER	WASHINGTON	LNI-DINW
4	0388739	OTHER	WASHINGTON	LNI-TRA REST OF WA
5	0388744	OTHER	WASHINGTON	LNI-TRA KING COUNTY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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