DR. BENJAMIN GREEN DPM NPI 1154852085

NPI Information

NPI: 1154852085
Provider Name: DR. BENJAMIN GREEN, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
804 GRANDVIEW DR STE 1
EPHRATA, PA
ZIP 17522
Phone: (717) 733-2251
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DR. Benjamin Green, DPM is a foot and ankle surgery podiatrist in Ephrata, PA with 7 years of experience. DR. Benjamin Green, DPM NPI is 1154852085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

804 GRANDVIEW DR STE 1
EPHRATA, PA
ZIP 17522-681
Phone: (717) 733-2251

The NPI 1154852085 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 3/22/2017 and was last updated on 3/7/2024.

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
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	0103301302	VIRGINIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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