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KRISTINA E GREEN DPM NPI 1558360875


NPI Information

NPI: 1558360875
Provider Name: KRISTINA E GREEN, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
44000 W 12 MILE RD
SUITE 111
NOVI, MI
ZIP 48377
Phone: (248) 347-8233
Get Directions

Kristina E Green, DPM is a podiatrist in Novi, MI with 22 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Kristina E Green, DPM NPI is 1558360875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2002

The provider's business location address is:

44000 W 12 MILE RD
SUITE 111
NOVI, MI
ZIP 48377-644
Phone: (248) 347-8233
Fax: (248) 347-8174

The NPI 1558360875 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).

The enumeration date for this NPI number is 7/19/2005 and was last updated on 2/28/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist5901002628MICHIGANYes
2213E00000XPodiatrist36003381OHIONo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10697670001OTHEROHIODURABLE MEDICAL EQUIPMENT
2P00167166MEDICARE PINOHIO
32501804MEDICAIDOHIO
49349281MEDICARE PINOHIO
59349282MEDICARE PINOHIO
60697670001MEDICARE NSCOHIO
74147732MEDICARE PINOHIO
84147731MEDICARE PINOHIO
9V02521MEDICARE UPIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.