MARY GREEN DO
NPI 1508502147
Student in an Organized Health Care Education/Training Program in Portsmouth, VA
About Mary Green Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY GREEN DO (NPI 1508502147) is an individual student in an organized health care education/training program in Portsmouth, Virginia and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Green Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
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 Mary Green's NPI number?
The NPI number for Mary Green is 1508502147. It was assigned to this individual provider in the NPPES registry on May 6, 2022. The provider is also known as Mary Clark Do.
Where is Mary Green located?
Mary Green practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-2339.
What is Mary 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 Mary Green enrolled in Medicare?
Yes. Mary Green is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Green was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mary Green, DO · NPI 1508502147
Student in an Organized Health Care Education/Training Program provider in Portsmouth, Virginia. Individual provider, active in the CMS NPPES registry since May 6, 2022.
## Identity
- **NPI:** 1508502147 (Entity type: Individual)
- **Enumerated:** May 6, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 620 JOHN PAUL JONES CIR, Portsmouth, VA 23708-2111
- **Phone:** (757) 953-2339
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1508502147) · Data from the CMS NPPES public registry.