Johnny Bert Green in Meridian - Colon & Rectal Surgery
Johnny Bert Green - NPI 1386612414
Johnny Bert Green is a Colon & Rectal Surgery in Meridian, Idaho. Johnny Bert Green practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Johnny Bert Green is 1386612414. The last update date is 2016-11-15.
Johnny Bert Green's current location address is 3340 E Goldstone Way, Meridian, Idaho. You can contact this provider via phone number 2083022400 and fax number 2083022455. The mailing address for Johnny Bert Green is 3340 E Goldstone Way, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Bert Green |
|---|---|
| Address | 3340 E Goldstone Way, Meridian, Idaho |
| Phone Number | 2083022400 |
| Fax Number | 2083022455 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386612414 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2016-11-15 |
Provider Mailing Address Detail
| Address | 3340 E Goldstone Way |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836421026 |
| Phone Number | 2083022400 |
| Fax Number | 2083022455 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | 35113 |
|
Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1386612414 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Johnny Bert Green?
The Johnny Bert Green has been issued the NPI (National Provider Identifier) 1386612414 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Johnny Bert Green?
The Johnny Bert Green is physically situated at 3340 E Goldstone Way, in the city of Meridian, state of ID, with the postal code 836421026.
What is the Johnny Bert Green's area of specialization and corresponding taxonomy classification?
The Johnny Bert Green's specialty field is Colon & Rectal Surgery, and it falls under the taxonomy code 208C00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1386612414 assigned to Johnny Bert Green?
The Johnny Bert Green was issued its 1386612414 on 2006-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Johnny Bert Green most recently updated?
The details pertaining to the Johnny Bert Green, including its address, specialty, and other relevant information, were last refreshed on 2016-11-15.