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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THEODORE F GREEN MD
NPI 1730131202
Pediatrics in Damascus, MD

Active since May 16, 2006
9886 MAIN ST, DAMASCUS, MD 20872(301) 368-3660(301) 368-3652 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore F Green Md NPPES

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

THEODORE F GREEN MD (NPI 1730131202) is an individual pediatrics provider in Damascus, Maryland, licensed in Maryland (D43196) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1730131202
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHEODORE F GREENCredential: MD
Location Address9886 MAIN STDamascus, MD 20872-3002
Mailing Address9886 Main StDamascus, MD 20872-3002 · (301) 368-3660 · Fax (301) 368-3652
Phone(301) 368-3660
Fax(301) 368-3652
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1730131202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D43196
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.
9886 MAIN ST, Damascus, MD 20872
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Other Names 1

Other Name (5)Ted Wells-green Md

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1028729

Theodore Wells-Green MD · Damascus, MD
Expired · Aug 1, 2026
CLIA Number21D1028729
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorTheodore F. Wells-Green
Laboratory Phone(301) 368-3660
Laboratory LocationTheodore Wells-Green MD9886-A Main Street, Damascus, MD 20872
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Theodore Green's NPI number?

The NPI number for Theodore Green is 1730131202. It was assigned to this individual provider in the NPPES registry on May 16, 2006. The provider is also known as Ted Wells-Green MD.

Where is Theodore Green located?

Theodore Green practices at 9886 Main St, Damascus, MD 20872. The listed phone number is (301) 368-3660.

What is Theodore 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 Theodore Green was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.