GRETCHEN E. GREEN M.D. – NPI #1053392084
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

GRETCHEN GREEN is a radiologist located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1053392084 to GRETCHEN GREEN on November 08, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 GRETCHEN GREEN below.

NPI Profile for
GRETCHEN E. GREEN

NPI Number
1053392084
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GRETCHEN E. GREEN
Credentials
M.D.
Primary location
3186 VILLAGE DR STE 201
FAYETTEVILLE, NC 28304-3979
Phone: (910) 486-5700 Fax: (910) 486-5950
1 Other location(s):
1331 North Elm Street
Suite 200
Greensboro, NC 27401-6304
Phone: (336) 274-9617 Ext: 128
Fax: (336) 482-2177
Mailing address
3186 VILLAGE DRIVE
SUITE 201
FAYETTEVILLE, NC 28304
Phone: (910) 486-5700 Fax: (910) 486-5950
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for GRETCHEN 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
MEDICAIDNC5904067
MEDICAIDNC1053392084
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
VA 0101244527

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

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
GRETCHEN GREEN is affiliated with the following medical group(s):
  • HOSPITAL
    • CAPE FEAR VALLEY MEDICAL CENTER
      1638 OWEN DRIVE P O BOX 2000
      FAYETTEVILLE, NC 28302

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.