CANDACE C GREEN M.D. – NPI #1154313674
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

CANDACE GREEN is a physician located in RICHLAND, WA. NPPES has assigned the NPI number 1154313674 to CANDACE GREEN on August 19, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VX0000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Obstetrics

The NPI profile was previously updated about 10 years ago on Nov 01, 2016. 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 CANDACE GREEN below.

NPI Profile for
CANDACE C. GREEN

NPI Number
1154313674
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CANDACE C. GREEN
Professional Name: CANDACE C GREEN
Credentials
M.D.
Primary location
2630 N COLUMBIA CENTER BLVD
SUITE B
RICHLAND, WA 99352-4853
Phone: (509) 420-5053 Fax: (509) 492-5537
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for CANDACE 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
DescriptionIssuerStateIdentifier
OTHERBCBSMI1605910202
OTHERPHPMI0700410
MEDICAIDMI4706065
MEDICAIDMI4706056
MEDICAIDMI4709343
Taxonomy Code(s)

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
207VX0000X
- Obstetrics & Gynecology / Obstetrics (Primary)
MI 4301073070

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.