CHARLES G. GREEN MD – NPI #1073698189
Radiology

A Radiology doctor of Osteopathy that specializes in Body Imaging.

CHARLES GREEN is a radiologist located in SUSANVILLE, CA. NPPES has assigned the NPI number 1073698189 to CHARLES GREEN on October 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 2085B0100X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Body Imaging

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. 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 CHARLES GREEN below.

NPI Profile for
CHARLES G. GREEN

NPI Number
1073698189
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES G. GREEN
Credentials
MD
Primary location
60 HALL STREET
SUSANVILLE, CA 96130
Phone: (530) 257-6010 Fax: (530) 257-6038
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for CHARLES 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
OTHERBLUE CROSS00G469580
OTHERMEDICAL PIN5424723
MEDICAIDCA00G469582
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
2085B0100X
- Radiology / Body Imaging (Primary)
CA G46958

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.