DR. Tyson Ellis Green, D.P.M. is a foot and ankle surgery podiatrist in Lake Charles, LA with 18 years of experience. DR. Tyson Ellis Green, D.P.M. NPI is 1407001787. 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:2006
The provider's business location address is:
1747 IMPERIAL BLVD
LAKE CHARLES, LA
ZIP 70605-362
Phone: (337) 721-7236
Fax: (337) 721-7237
The NPI 1407001787 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 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.
- X-ray of foot, minimum of 3 views (HCPCS:73630)
- Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
- Removal of tissue from wounds per session (HCPCS:97597)
The enumeration date for this NPI number is 11/30/2008 and was last updated on 1/30/2017.