BENJAMIN MICHAEL GREEN MD NPI 1407918915

NPI Information

NPI: 1407918915
Provider Name: BENJAMIN MICHAEL GREEN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
505 S 336TH ST
SUITE 500
FEDERAL WAY, WA
ZIP 98003
Phone: (206) 962-3490
Get Directions

Benjamin Michael Green, MD is a family medicine in Federal Way, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Benjamin Michael Green, MD NPI is 1407918915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

505 S 336TH ST
SUITE 500
FEDERAL WAY, WA
ZIP 98003-947
Phone: (206) 962-3490

The enumeration date for this NPI number is 12/14/2006 and was last updated on 11/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MT184803	PENNSYLVANIA	No
2	207Q00000X	Family Medicine		00048011	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8871580	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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