ALEXANDER GREEN DPM NPI 1336638238

NPI Information

  • NPI: 1336638238
  • Provider Name: ALEXANDER GREEN, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 44D2108241
  • Address: 170 W TENNESSEE AVE
    OAK RIDGE, TN
    ZIP 37830
  • Phone: (865) 482-1788

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NPI Details

Alexander Green, DPM is a podiatrist in Oak Ridge, TN with 8 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. Alexander Green, DPM NPI is 1336638238. 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:

170 W TENNESSEE AVE
OAK RIDGE, TN
ZIP 37830-509
Phone: (865) 482-1788

The NPI 1336638238 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 CLIA number assigned to this NPI record is 44D2108241 - assisted living facility with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 5/7/2018 and was last updated on 3/7/2023.

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
1213E00000XPodiatristDPM897TENNESSEEYes

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
16277909OTHERTENNESSEEBCBST
2DPM897OTHERTENNESSEETN PODIATRY BOARD
3Q068463MEDICAIDTENNESSEE

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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