Dr. Gordon James Green
MD | Pediatrics | Male
Dr. Gordon James Green, MD is a Charleston, West Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Gordon James Green is
800 Pennsylvania Ave, Charleston, West Virginia - 25302-3351. He can be contacted on phone at
304-388-2525.
Dr. Gordon James Green is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Gordon James Green is
1780711945 which was assigned by NPPES on 27 Feb, 2007 and it was last updated on 08 Jul, 2007.
Dr. Gordon James Green license number is
19355 for Pediatrics (208000000X) in West Virginia.
Dr. Gordon James Green is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Gordon James Green basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Gordon James Green |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Gordon James Green address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 800 Pennsylvania Ave
Charleston, WV, 25302-3351
United States |
|---|
| Phone Number : | 304-388-2525 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1780711945 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 27 Feb, 2007 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gordon James Green are as mentioned. Primary taxonomy code for Dr. Gordon James Green, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 19355 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Gordon James Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0111410000 | MEDICAID | WV | |
| 19355 | Other | WV | MEDICAL LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1416 Virginia St E
Charleston, WV, 25301-3014
United States |
|---|
| Phone Number : | 304-345-2766 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Gordon James Green practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.