MITRA MARIE GREEN M.D.
NPI 1699702761
Pediatrics in Monroe, LA

Active since June 26, 2006
3421 MEDICAL PARK DR, MONROE, LA 71203(318) 376-7337 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mitra Marie Green M.d. NPPES

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

MITRA MARIE GREEN M.D. (NPI 1699702761) is an individual pediatrics provider in Monroe, Louisiana, licensed in Louisiana (020108) and active in the NPI registry since June 2006. She maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1699702761
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMITRA MARIE GREENCredential: M.D.
Location Address3421 MEDICAL PARK DRMonroe, LA 71203-2355
Mailing Address1601 Lamy LnMonroe, LA 71201-3735 · (318) 387-3453 · Fax (318) 323-9045
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateApril 11, 2023
NPPES CertifiedApril 11, 2023
NPI 1699702761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in LA · 020108
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.
3421 MEDICAL PARK DR, Monroe, LA 71203

Secondary Practice Location 1

Location 1309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4470 · Fax (318) 966-4864

Other Identifiers 1

Medicaid1950831LA

Other Providers at the Same Location NPPES 8

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

Nurse Anesthetist, Certified Registered
3421 MEDICAL PARK DR
MONROE, LA 71203
Psychiatric Unit
3421 MEDICAL PARK DR
MONROE, LA 71203
Registered Nurse
3421 MEDICAL PARK DR
MONROE, LA 71203
General Acute Care Hospital
3421 MEDICAL PARK DR
MONROE, LA 71203
Psychiatric Unit
3421 MEDICAL PARK DR
MONROE, LA 71203
Pediatrics
3421 MEDICAL PARK DR
MONROE, LA 71203
Nurse Anesthetist, Certified Registered
3421 MEDICAL PARK DR
MONROE, LA 71203
Psychiatry & Neurology (Psychiatry)
3421 MEDICAL PARK DR, ST. PATRICK'S MENTAL HEALTH SERVICES
MONROE, LA 71203

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 Mitra Green's NPI number?

The NPI number for Mitra Green is 1699702761. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Mitra Green located?

Mitra Green practices at 3421 Medical Park Dr, Monroe, LA 71203. The listed phone number is (318) 376-7337.

What is Mitra Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Mitra Green was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.