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David A Greene

Internist Geriatric Medicine

5555 Montgomery Dr
Santa Rosa , California 95409-8846

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David A Greene

Internist Geriatric Medicine

5555 Montgomery Dr
Santa Rosa , California 95409-8846

(707) 579-6979

Write a Review Save Call

David A Greene

Internist Geriatric Medicine

5555 Montgomery Dr
Santa Rosa , California 95409-8846

(707) 579-6979 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Geriatric Medicine

Languages spoken

  • English

Location

5555 Montgomery Dr Santa Rosa , California 95409-8846

First Address

  • David A Greene
  • 3536 Mendocino Ave Ste 200
  • Santa Rosa, CA
  • Zip : 95403-3634
  • Fax : (707) 579-6979
  • Phone : (707) 579-6957

Second Address

  • David A Greene
  • 5555 Montgomery Dr
  • Santa Rosa, CA
  • Zip : 95409-8846
  • Fax : (707) 579-6979
  • Phone : (707) 579-6957

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FAQs


Where did David A Greene attend graduate school?

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Where did David A Greene do his residency?

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Where did David A Greene do his fellowship?

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Is David A Greene board certified?

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What type of doctor is David A Greene

Geriatric Medicine

In what state does David A Greene practice in?

California

Where is David A Greene ’s practice located?

5555 Montgomery Dr , Santa Rosa, California, 95409-8846

What is David A Greene ’s gender?

Male

Is David A Greene a sole practitioner?

No

Is David A Greene accepting new patients?

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What languages does David A Greene speak?

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Does David A Greene accept insurance?

Yes, David A Greene accepts insurance

Does David A Greene offers telemedicine?

David A Greene has not indicated if he offers telemedicine

What is David A Greene ’s professional license number?

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What is David A Greene ’s NPI number?

1104802594

Does David A Greene have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist 20639 KY
N 111NI0900X Internist 20639 KY
Y 207RG0300X Geriatric Medicine C148038 CA

National Provider Identifier

NPI 1104802594
Provider Name David A Greene
First Address Santa Rosa, CA 95403-3634
Second Address Santa Rosa, CA 95409-8846
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/12/2005
Last Update Date 22/06/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
64206394 (05) KY
B88011 (02) KY

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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