Douglas William Green in Santa Rosa - Surgery
Douglas William Green - NPI 1386739605
Douglas William Green is a Surgery in Santa Rosa, California. Douglas William Green practices all healthcare services and medical treatments related to Surgery. The NPI Number for Douglas William Green is 1386739605. The last update date is 2021-12-15.
Douglas William Green's current location address is 121 Sotoyome St, Santa Rosa, California. You can contact this provider via phone number 7075493141 and fax number 7075467351. The mailing address for Douglas William Green is 121 Sotoyome St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas William Green |
|---|---|
| Address | 121 Sotoyome St, Santa Rosa, California |
| Phone Number | 7075493141 |
| Fax Number | 7075467351 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386739605 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2021-12-15 |
Provider Mailing Address Detail
| Address | 121 Sotoyome St |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054823 |
| Phone Number | 7075493141 |
| Fax Number | 7075467351 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | A90305 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A903050 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Douglas William Green by the Centers for Medicare & Medicaid Services?
The Douglas William Green has been issued the NPI (National Provider Identifier) 1386739605, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Douglas William Green is geographically located?
The Douglas William Green is physically situated at the following location: 121 Sotoyome St, Santa Rosa, CA, 954054823.
What is the Douglas William Green's area of specialization and corresponding taxonomy classification?
The Douglas William Green's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1386739605 to Douglas William Green?
The Douglas William Green received its 1386739605 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details pertaining to Douglas William Green last refreshed?
The information related to the Douglas William Green, including its address, specialty, and other relevant details, was last updated on 2021-12-15.