DEBORAH GREEN MD PC
NPI 1194909804
Clinic/Center - Primary Care in Fort Lupton, CO

Active since December 18, 2007
315 PARK AVE, FORT LUPTON, CO 80621(303) 857-6111(303) 857-2459 Get Directions Write a Review

NPPES record last updated: August 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deborah Green Md Pc NPPES

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

DEBORAH GREEN MD PC (NPI 1194909804) is a healthcare organization registered as a primary care in Fort Lupton, Colorado and active in the NPI registry since December 2007. The organization lists Nancy Salas, Owner, as its authorized official.

NPPES Registry Identity

NPI1194909804
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDEBORAH GREEN MD PC
Location Address315 PARK AVEFort Lupton, CO 80621-1929
Mailing Address315 Park AveFort Lupton, CO 80621-1929 · (303) 857-6111 · Fax (303) 857-2459
Fax(303) 857-2459
Organization SubpartNo
Authorized OfficialNancy SalasOwner · (303) 857-6111
Enumeration DateDecember 18, 2007
Last NPPES UpdateAugust 30, 2013
NPI 1194909804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CO · 241330
315 PARK AVE, Fort Lupton, CO 80621

Other Identifiers 4

Medicare PINCC1508CO
Medicare UPIND24397CO
Other010022980CO · Rr Ptan
Medicaid01241330CO

Other Providers at the Same Location NPPES 3

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

Family Medicine
315 PARK AVE
FORT LUPTON, CO 80621
Nurse Practitioner (Family)
315 PARK AVE
FORT LUPTON, CO 80621
Nurse Practitioner (Family)
315 PARK AVE
FORT LUPTON, CO 80621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deborah Green MD PC's NPI number?

The NPI number for Deborah Green MD PC is 1194909804. It was assigned to this organization in the NPPES registry on December 18, 2007.

Where is Deborah Green MD PC located?

Deborah Green MD PC is located at 315 Park Ave, Fort Lupton, CO 80621. The listed phone number is (303) 857-6111.

What is Deborah Green MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Deborah Green MD PC was last updated on August 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.