JOHNNY B. GREEN MD – NPI #1386612414
Colon & Rectal Surgery
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
JOHNNY GREEN is a colon & rectal surgeon located in BOISE, ID. NPPES has assigned the NPI number 1386612414 to JOHNNY GREEN on March 14, 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 208C00000X from the Health Care Provider Taxonomy code set, which is classified as Colon & Rectal Surgery.
The NPI profile was previously updated about 10 years ago on Nov 15, 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 JOHNNY GREEN below.
NPI Profile for
JOHNNY B. GREEN
(more than 20 years ago)
SUITE 201
BOISE, ID 83704 Phone: (208) 302-2400 Fax: (208) 302-2455
MERIDIAN, ID 83642-1026 Phone: (208) 302-2400 Fax: (208) 302-2455
Identifiers for JOHNNY 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | ID | 1386612414 |
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 |
|---|---|---|
| 208C00000X - Colon & Rectal Surgery (Primary) |
ID | M-11186 |
| 208600000X - Surgery |
WA | 35113 |
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.