Michael Green, D.O.

Individual Active
NPI 1063665719
Pediatric Rehabilitation Medicine Physician Salt Lake City, UT

Michael Green, D.O. holds NPI 1063665719, with a primary taxonomy of pediatric rehabilitation medicine physician and a practice location in Salt Lake City, UT. The number was issued on October 28, 2008 and the NPPES record was last updated on December 10, 2021. The record lists 5 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Rehabilitation Medicine Physician Primary 2081P0010X 8728465-1204 (UT)
Physical Medicine & Rehabilitation Physician 208100000X BP10031712 (TX)
Pediatric Rehabilitation Medicine Physician 2081P0010X 2011017820 (MO)
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X 8728465-1204 (UT)
Student in an Organized Health Care Education/Training Program 390200000X Not listed

Practice location

81 N Mario Capecchi Dr
Department Of Pediatrics
Salt Lake City, UT 84113-1125
Phone: (801) 213-7737

Local context

Active NPPES records list 5 providers with pediatric rehabilitation medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 5 in Utah and 536 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Michael Matthew Green
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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