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JASON KYLE GREEN D.O. NPI 1164818233


NPI Information

NPI: 1164818233
Provider Name: JASON KYLE GREEN, D.O.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
2120 EXETER RD STE 250
GERMANTOWN, TN
ZIP 38138
Phone: (901) 767-5864
Get Directions

Jason Kyle Green, D.O. is a pulmonary disease internal medicine in Germantown, TN with 9 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Jason Kyle Green, D.O. NPI is 1164818233. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2015

The provider's business location address is:

2120 EXETER RD STE 250
GERMANTOWN, TN
ZIP 38138-931
Phone: (901) 767-5864
Fax: (901) 767-6591

The NPI 1164818233 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 4/15/2015 and was last updated on 8/4/2022.


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
1207RC0200XInternal MedicineCritical Care Medicine30295MISSISSIPPINo
2207RC0200XInternal MedicineCritical Care Medicine4746TENNESSEENo
3207RP1001XInternal MedicinePulmonary Disease30295MISSISSIPPINo
4207RS0012XInternal MedicineSleep Medicine4746TENNESSEENo
5207RS0012XInternal MedicineSleep Medicine30295MISSISSIPPINo
6390200000XStudent in an Organized Health Care Education/Training ProgramNo
7207RP1001XInternal MedicinePulmonary Disease4746TENNESSEEYes

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.