Individual
MARK GREEN
Active
Individual
MARK GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
222713
MA
2084P0800X
Psychiatry Physician
Primary
222713
MA
2084P0802X
Addiction Psychiatry Physician
222713
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021927
KAISER COMMERCIAL NUMBER
CO
05
—
41035810
—
CO
Enumeration date
04/24/2007
Last updated
07/15/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up