KEVIN D. GREEN M.D. – NPI #1811900194
Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
KEVIN GREEN is a physician located in TYLER, TX. NPPES has assigned the NPI number 1811900194 to KEVIN GREEN on August 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology
The NPI profile was previously updated about 9 years ago on Jan 10, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEVIN GREEN below.
NPI Profile for
KEVIN D. GREEN
(about 20 years ago)
TYLER, TX 75701 Phone: (903) 595-5101 Fax: (903) 597-2314
DALLAS, TX 75284-6098 Phone: (903) 324-6400 Fax:
Identifiers for KEVIN GREEN
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS | TX | 8GC722 |
| OTHER | RAIL ROAD MEDICARE | TX | 100007934 |
| OTHER | TRICARE | TX | 75-2616977-125 |
| OTHER | TRICARE | TX | 75-2616977-054 |
| OTHER | TRICARE | TX | 75-2616977-008 |
| MEDICAID | TX | 129618808 | |
| MEDICAID | TX | 129618812 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RG0100X - Internal Medicine / Gastroenterology (Primary) |
TX | G5113 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
KEVIN GREEN is affiliated with the following medical group(s):
- HOSPITAL
- CHRISTUS MOTHER FRANCES HOSPITAL800 EAST DAWSON
TYLER, TX 75701
- CHRISTUS MOTHER FRANCES HOSPITAL800 EAST DAWSON
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