Active NPIIndividual providerSole proprietor

Dr. Jason W Green, DPM

Podiatrist, Foot & Ankle Surgery in Rockport, Maine

NPI Number1841626801
Practice location
4 Glen Cove Drive Rockport Me 04856, Rockport, ME 04865
Fax
—
Last updated
October 29, 2021

Jason Warren Green is a Podiatrist, Foot & Ankle Surgery based in Rockport, ME. Jason Warren Green practices in Rockport, ME and has the professional credentials of DPM. The NPI Number for Jason Warren Green is 1841626801 and holds a License No. POD001190 (GA). The current practice location address for Jason Warren Green is 4 Glen Cove Drive Rockport Me 04856, Rockport, ME 04865 and can be reached out via phone at 207-301-5700.

Provider Profile Details

NPI Number
1841626801
Provider Name
Jason Warren Green
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4 Glen Cove Drive Rockport Me 04856, Rockport, ME 04865
Phone Number
207-301-5700
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2013
Last Update Date
October 29, 2021
Certification Date
October 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Glen Cove Drive Rockport Me 04856
Rockport, ME 04865
State
Maine
Zip
04865
Phone Number
207-301-5700
Rockport, ME 04865Get directions →

Provider Business Mailing Address Details

Address
4 Glen Cove Drive Rockport Me 04856
Rockport, ME 04865
City
Rockport
State
ME
Zip
04865
Phone Number
207-301-5700

License Information

License Number (1)
POD001190
License State (1)
GA
Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary
License Number (2)
POD1103
License State (2)
ME
Taxonomy (2)
Podiatrist, Foot & Ankle Surgery · 213ES0103X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Podiatrist, Foot & Ankle Surgery providers near Rockport, ME

View all Podiatrist, Foot & Ankle Surgery providers in Rockport →

Frequently Asked Questions

What is the NPI number of Dr. Jason W Green, DPM?

The NPI number of Dr. Jason W Green, DPM is 1841626801. It was assigned on September 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason W Green, DPM?

Dr. Jason W Green, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in GA under license number POD001190.

Where does Dr. Jason W Green, DPM practice?

The practice location is 4 Glen Cove Drive Rockport Me 04856, Rockport, ME 04865. The office can be reached at 207-301-5700 (phone).

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 1841626801 directly on the NPPES registry website.

Browse related providers