David A Greene in Santa Rosa - Geriatric Medicine
David A Greene - NPI 1104802594
David A Greene is a Geriatric Medicine in Santa Rosa, California. David A Greene practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for David A Greene is 1104802594. The last update date is 2021-06-22.
David A Greene's current location address is 3536 Mendocino Ave Ste 200, Santa Rosa, California. You can contact this provider via phone number 7075796957 and fax number 7075796979. The mailing address for David A Greene is 3536 Mendocino Ave Ste 200, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David A Greene |
|---|---|
| Address | 3536 Mendocino Ave Ste 200, Santa Rosa, California |
| Phone Number | 7075796957 |
| Fax Number | 7075796979 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104802594 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2021-06-22 |
Provider Mailing Address Detail
| Address | 3536 Mendocino Ave Ste 200 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954033634 |
| Phone Number | 7075796957 |
| Fax Number | 7075796979 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | C148038 |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64206394 | KY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to David A Greene?
The David A Greene has been issued the NPI (National Provider Identifier) 1104802594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where David A Greene's facilities are situated?
The facilities of David A Greene are physically located at the following address: 3536 Mendocino Ave Ste 200, Santa Rosa, CA, 954033634.
What is the David A Greene's specialty and taxonomy code?
The David A Greene's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Rg0300X.
On what date did David A Greene receive its 1104802594 assignment from the Centers for Medicare & Medicaid Services?
The David A Greene was assigned its 1104802594 on 2005-12-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding David A Greene, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David A Greene, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-06-22.