Ted Allen Green is a Pediatrics in Eureka, Missouri. Ted Allen Green practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ted Allen Green is 1831200476. The last update date is 2007-07-08.
Ted Allen Green's current location address is 515 N Virginia Ave, Eureka, Missouri. You can contact this provider via phone number 6365873000 and fax number 6365872243. The mailing address for Ted Allen Green is 515 N Virginia Ave, Eureka, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted Allen Green |
|---|---|
| Address | 515 N Virginia Ave, Eureka, Missouri |
| Phone Number | 6365873000 |
| Fax Number | 6365872243 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831200476 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 515 N Virginia Ave |
|---|---|
| City | Eureka |
| State | Missouri (MO) |
| Post Code | 630251115 |
| Phone Number | 6365873000 |
| Fax Number | 6365872243 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 106508 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the unique 10-digit identification code issued to Ted Allen Green by the Centers for Medicare & Medicaid Services?
The Ted Allen Green has been assigned the NPI (National Provider Identifier) 1831200476 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Ted Allen Green?
The Ted Allen Green is situated at 515 N Virginia Ave, in the city of Eureka, state of MO, with the zip code 630251115.
What is Ted Allen Green's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ted Allen Green is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831200476 to Ted Allen Green?
The Ted Allen Green received its 1831200476 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the Ted Allen Green's information last updated?
The Ted Allen Green's information was last updated on 2007-07-08.
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