MITRA M. GREEN M.D. – NPI #1699702761
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.

MITRA GREEN is a physician located in MONROE, LA. NPPES has assigned the NPI number 1699702761 to MITRA GREEN on June 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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 Apr 11, 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 MITRA GREEN below.

NPI Profile for
MITRA M. GREEN

NPI Number
1699702761
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MITRA M. GREEN
Credentials
M.D.
Primary location
3421 MEDICAL PARK DR
MONROE, LA 71203-2355
Phone: (318) 376-7337 Fax:
1 Other location(s):
309 Jackson St
Monroe, LA 71201-7407
Phone: (318) 966-4470
Fax: (318) 966-4864
Mailing address
1601 LAMY LN
MONROE, LA 71201-3735
Phone: (318) 387-3453 Fax: (318) 323-9045
Sole Proprietor
No
Updated
Certification Date
Apr 11, 2023

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 MITRA 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
medicaidLA1950831
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)
LA 020108

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.