DONALD JOSEPH GREEN MD NPI 1518980671

NPI Information

NPI: 1518980671
Provider Name: DONALD JOSEPH GREEN, MD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
13677 W MCDOWELL RD STE 201
GOODYEAR, AZ
ZIP 85395
Phone: (602) 996-4747
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Donald Joseph Green, MD is a specialist in Goodyear, AZ with 29 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Donald Joseph Green, MD NPI is 1518980671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13677 W MCDOWELL RD STE 201
GOODYEAR, AZ
ZIP 85395-635
Phone: (602) 996-4747
Fax: (602) 953-5466

The NPI 1518980671 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 7/26/2006 and was last updated on 1/19/2019.

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	174400000X	Specialist		C52258	CALIFORNIA	Yes
2	208600000X	Surgery		DR.0061299	COLORADO	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	37789	OTHER	ARIZONA	LICENSE
2	C52258	OTHER	CALIFORNIA	MED LICENSE
3	579138	MEDICAID	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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