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DOUGLASS W GREEN MD, NPI 1871590166

Internal Medicine in BRISTOL, TN

Last Updated on : Jun 11,2014

DOUGLASS W GREEN MD, NPI 1871590166

About DOUGLASS W GREEN (NPI 1871590166)


DOUGLASS W GREEN is an Internal Medicine provider in BRISTOL, United States. His medical specialization is Internal Medicine with a focus in Nephrology.

1871590166 is NPI number of DOUGLASS W GREEN.

DOUGLASS W GREEN's primary taxonomy code based on NPI Lookup is 207RN0300X with license number 015559. This taxonomy code refers to Internal Medicine.

DOUGLASS W GREEN has more than 16 years of experience.

DOUGLASS W GREEN current practice location address is 1 MEDICAL PARK BLVD, BRISTOL, TN. DOUGLASS W GREEN can be reached out via phone at 423-968-3713 and via fax at 423-968-7352 .

You can also correspond with DOUGLASS W GREEN through mail at mailing address PO BOX 9, KINGSPORT, TN, United States. Mailing address contact number is 423-857-2066.

The enumeration date of DOUGLASS W GREEN is 01-Jul-2005. The provider is registered as an Individual and the NPI record was last updated 8 years ago.

1871590166 NPI Information

Basic NPI information of DOUGLASS W GREEN (NPI 1871590166) is provided below.

Name DOUGLASS W GREEN
National Provider Id (NPI) 1871590166
Entity Type Individual
Gender M
Credential MD
Practice Address 1 MEDICAL PARK BLVD, SUITE 450W
BRISTOL, TN, United States
Practice Telephone 423-968-3713
Practice Fax Number 423-968-7352
Mailing Address PO BOX 9 ,
KINGSPORT, TN, United States
Mailing Telephone 423-857-2066
Mailing Fax Number 423-857-2070
Enumeration Date 01-Jul-2005
Last Updated Date 11-Jun-2014

DOUGLASS W GREEN (NPI 1871590166) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207RN0300X Internal Medicine, Nephrology 015559 TN

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
082790 Other (non-Medicare) (01) VA Anthem
103i118141 MEDICARE PIN (08) TN
3011095 MEDICARE ID-Type Unspecified (04)
3037797 Other (non-Medicare) (01) TN BC
6016502 MEDICAID (05) VA
A97474 MEDICARE UPIN (02)

DOUGLASS W GREEN (NPI 1871590166) Office Location

Office location of DOUGLASS W GREEN is provided in the Google maps below.

Providers in same location

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NPI Name Taxonomy Address Enumeration date
1154874501 JAMIE SHACKLES Physical Therapist, Orthopedic 56 N SYLVANIA AVE, FRONT 2
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1356646905 AMADA N/A HERNANDEZ Counselor, Addiction (Substance Use Disorder) PO BOX 4,
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12-Jan-2011
1568792174 KIONNA TYANN WHITEHEAD Counselor, Mental Health 371 EMMETT ST, 23
BRISTOL, CT, United States
04-Jan-2010
1194232454 ABIGAIL SHERMAN Counselor, Addiction (Substance Use Disorder) 55 FISHFRY ST,
HARTFORD, CT, United States
08-Jan-2018
1467500587 CRAIG ZETTERGREN Physical Therapist 135 MIDDLE ST, UNIT B
BRISTOL, CT, United States
08-Jan-2007
1811045933 KATHLEEN ZETTERGREN Physical Therapist 135 MIDDLE ST, UNIT B
BRISTOL, CT, United States
08-Jan-2007
1538217658 MATTHEW CONNELL Physical Therapist 135 MIDDLE ST, UNIT B
BRISTOL, CT, United States
08-Jan-2007
1609854694 BRIAN N LEWTON Specialist/Technologist, Athletic Trainer 200 BLAKESLEE ST, #199
BRISTOL, CT, United States
09-Jan-2006
1841349974 NICOLE A. ARCERI Marriage & Family Therapist 489 WOLCOTT ST, UNIT 65
BRISTOL, CT, United States
09-Jan-2007
1881083137 JAIMIE VASSILIOU Dentist 410 EMMETT ST UNIT 7,
BRISTOL, CT, United States
09-Jan-2015
1265978704 BRIAN GREER Physical Therapist 72 PINE ST,
BRISTOL, CT, United States
09-Jan-2017
1104975937 JESSICA LYNNE BLANKENSHIP Social Worker 11 BOULDER RDG,
SOUTHINGTON, CT, United States
10-Jan-2007
1265978506 DEBORAH C TERRY Chiropractor, Internist 146 FARMINGTON AVE,
BRISTOL, CT, United States
10-Jan-2017
1043676810 JORDAN CYR Marriage & Family Therapist 82 HULL ST,
BRISTOL, CT, United States
11-Jan-2016
1457401242 SUSAN MARIE BRULE Social Worker 57 GENOVESE DR,
BRISTOL, CT, United States
12-Jan-2007
1104976752 MONICA TORRES RODRIGUEZ Social Worker, Clinical 146 WOLCOTT ST,
BRISTOL, CT, United States
12-Jan-2007
1750899621 KARI ECHEVARRIA Social Worker 36 MINNESOTA LN,
BRISTOL, CT, United States
13-Jan-2018
1124440854 CASSIE NOWAK Marriage & Family Therapist 440 N MAIN ST STE C,
BRISTOL, CT, United States
15-Jan-2014
1205815487 JITESH VACHHANI Internal Medicine 41 BREWSTER RD,
BRISTOL, CT, United States
16-Jan-2006
1639221385 JUDY K MORRIS Advanced Practice Midwife 122 MAPLE ST,
BRISTOL, CT, United States
16-Jan-2007

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1871590166?

1871590166 is the NPI number of DOUGLASS W GREEN.

What is the specialty for DOUGLASS W GREEN?

The Specialty of DOUGLASS W GREEN is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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