ERIC R. GREEN MD – NPI #1194798777
Pediatrics

A pediatrician 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.

ERIC GREEN is a physician located in HOLLAND, MI. NPPES has assigned the NPI number 1194798777 to ERIC GREEN on February 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. 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 ERIC GREEN below.

NPI Profile for
ERIC R. GREEN

NPI Number
1194798777
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ERIC R. GREEN
Credentials
MD
Primary location
926 S WASHINGTON AVE
HOLLAND, MI 49423-7725
Phone: (616) 393-0166 Fax:
Mailing address
1990 LEISURE BLVD
HOLLAND, MI 49424-9076
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ERIC 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.

DescriptionIssuerStateIdentifier
otherBOARD OF PHARMACYMI5315010080
otherPHYSICIAN LICENSEMI4301080025
medicaidMI4409089 TYPE 10
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
208000000X
- Pediatrics (Primary)
MI 4301080025
174400000X
- Specialist
MI 4301080025

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.