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RYAN TIMOTHY GREEN DO
NPI 1376390658
Student in an Organized Health Care Education/Training Program in Flint, MI

Active since May 03, 2024PECOS Enrolled
401 S BALLENGER HWY OFC 7N, FLINT, MI 48532(810) 342-2000(810) 342-3659 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryan Timothy Green Do NPPES

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

RYAN TIMOTHY GREEN DO (NPI 1376390658) is an individual student in an organized health care education/training program in Flint, Michigan, licensed in Michigan (5151016716) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376390658
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN TIMOTHY GREENCredential: DO
Location Address401 S BALLENGER HWY OFC 7NFlint, MI 48532-3638
Mailing Address401 S Ballenger Hwy Ofc 7nFlint, MI 48532-3638 · (810) 342-2000 · Fax (810) 342-3659
Phone(810) 342-2000
Fax(810) 342-3659
Sole ProprietorNo
Enumeration DateMay 3, 2024
NPPES CertifiedMay 3, 2024
✔ NPI 1376390658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 5151016716
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

401 S BALLENGER HWY OFC 7N, Flint, MI 48532
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Timothy Green Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

JOHN AYMAN HANNA DO
Student in an Organized Health Care Education/Training Program
401 S BALLENGER HWY OFC 7N
FLINT, MI 48532
Genesee County (810) 342-2000
DANIEL MOYER DO
Student in an Organized Health Care Education/Training Program
401 S BALLENGER HWY OFC 7N
FLINT, MI 48532
Genesee County (810) 342-2000
ADITYA BHAGIRATH DO
Student in an Organized Health Care Education/Training Program
401 S BALLENGER HWY OFC 7N
FLINT, MI 48532
Genesee County (810) 342-2000
JACOB TALHELM MD
Student in an Organized Health Care Education/Training Program
401 S BALLENGER HWY OFC 7N
FLINT, MI 48532
Genesee County (810) 342-2000
NOUR KHALIL NADER DO
Student in an Organized Health Care Education/Training Program
401 S BALLENGER HWY OFC 7N
FLINT, MI 48532
Genesee County (810) 342-2000
MINJUNG MINNY KIM DO
Student in an Organized Health Care Education/Training Program
401 S BALLENGER HWY OFC 7N
FLINT, MI 48532
Genesee County (810) 342-2000
JESSIE KAUR MD
Student in an Organized Health Care Education/Training Program
401 S BALLENGER HWY OFC 7N
FLINT, MI 48532
Genesee County (810) 342-2000
STEPHANIE NICOLE BOLDT MD
Student in an Organized Health Care Education/Training Program
401 S BALLENGER HWY OFC 7N
FLINT, MI 48532
Genesee County (810) 342-2000

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 Ryan Green's NPI number?

The NPI number for Ryan Green is 1376390658. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Ryan Green located?

Ryan Green practices at 401 S Ballenger Hwy Ofc 7N, Flint, MI 48532. The listed phone number is (810) 342-2000.

What is Ryan Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Green enrolled in Medicare?

Yes. Ryan Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Green was last updated on May 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.