ERIC R GREEN MD - NPI 1194798777 - Pediatrics in Holland, MI

Q: What is Eric Green's NPI number?

The NPI number for Eric Green is 1194798777. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Eric Green's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Green was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Eric R Green Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC R GREEN MD (NPI 1194798777) is an individual pediatrics provider in Holland, Michigan, licensed in Michigan (4301080025) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1194798777

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameERIC R GREENCredential: MD

Location Address926 S WASHINGTON AVEHolland, MI 49423-7725

Mailing Address1990 Leisure BlvdHolland, MI 49424-9076

Phone(616) 393-0166

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedOctober 5, 2022

✔ NPI 1194798777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301080025

Definition

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.

Also ListedSpecialistTaxonomy 174400000X · License 4301080025 (MI)

926 S WASHINGTON AVE, Holland, MI 49423

Open in Google Maps ↗

Other Identifiers 3

Other4301080025MI · Physician License

Medicaid4409089 TYPE 10MI

Other5315010080MI · Board Of Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD LEROY STAGEMAN M.D.

Otolaryngology

926 S WASHINGTON AVE, BLDG D STE 230
HOLLAND, MI 49423

Allegan County (616) 396-3544

MATTHEW WARREN BUSH MA, LLP

Psychologist