Ivan R Green, MD
Radiology, Diagnostic Radiology in Worcester, Massachusetts
1215989199- Practice location
- 135 Gold Star Blvd, Worcester, MA 01606
- Phone
- 508-853-2716
- Fax
- 508-856-9025
- Last updated
- February 13, 2009
Ivan R Green is a Radiology, Diagnostic Radiology based in Worcester, MA. Ivan R Green practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Ivan R Green is 1215989199 and holds a License No. 36946 (MA). The current practice location address for Ivan R Green is 135 Gold Star Blvd, Worcester, MA 01606 and can be reached out via phone at 508-853-2716 and via fax at 508-856-9025.
Provider Profile Details
- NPI Number
- 1215989199
- Provider Name
- Ivan R Green
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 135 Gold Star Blvd, Worcester, MA 01606
- Phone Number
- 508-853-2716
- Fax Number
- 508-856-9025
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 17, 2006
- Last Update Date
- February 13, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 135 Gold Star Blvd
Worcester, MA 01606 - City
- Worcester
- State
- Massachusetts
- Zip
- 01606
- Phone Number
- 508-853-2716
- Fax Number
- 508-856-9025
Provider Business Mailing Address Details
- Address
- 630 Plantation St
Worcester, MA 01605-2038 - City
- Worcester
- State
- MA
- Zip
- 01605-2038
- Phone Number
- 508-853-2716
- Fax Number
- 508-856-9025
License Information
- License Number
- 36946
- License State
- MA
- Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Worcester, MA
View all Radiology, Diagnostic Radiology providers in Worcester →- Abigail M Childs, MDRadiology, Diagnostic Radiology · NPI 1134175441
- Alan Goldstein, MDRadiology, Diagnostic Radiology · NPI 1013221761
- Aly H AbayazeedRadiology, Diagnostic Radiology · NPI 1821221946
- Andrew E Bennett, MD, PHDRadiology, Diagnostic Radiology · NPI 1104067966
- Andrew P Chen, MDRadiology, Diagnostic Radiology · NPI 1235245663
- Anushree A Agrawal, MDRadiology, Diagnostic Radiology · NPI 1427482744
Frequently Asked Questions
What is the NPI number of Ivan R Green, MD?
The NPI number of Ivan R Green, MD is 1215989199. It was assigned on May 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Ivan R Green, MD?
Ivan R Green, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 36946.
Where does Ivan R Green, MD practice?
The practice location is 135 Gold Star Blvd, Worcester, MA 01606. The office can be reached at 508-853-2716 (phone) or 508-856-9025 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215989199 directly on the NPPES registry website.