JORDAN HOWARD GREEN MD NPI 1063904829

NPI Information

  • NPI: 1063904829
  • Provider Name: JORDAN HOWARD GREEN, MD
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 MARSHALL WAY
    PLACERVILLE, CA
    ZIP 95667
  • Phone: (530) 622-1441

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NPI Details

Jordan Howard Green, MD is an orthopaedic surgery of the spine orthopaedic surgery in Placerville, CA with 8 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Jordan Howard Green, MD NPI is 1063904829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1100 MARSHALL WAY
PLACERVILLE, CA
ZIP 95667-599
Phone: (530) 622-1441

The NPI 1063904829 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 6/6/2018 and was last updated on 12/12/2024.

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
1207X00000XOrthopaedic SurgeryA195801CALIFORNIANo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineA195801CALIFORNIAYes

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: 11/21/2025

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