Green, Tyler J
Green, Tyler J is an individual health care provider with primary practice located at 10800 E Geddes Ave Ste 300 , Englewood CO 80112-3895. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Green, Tyler J can be contacted via phone (303) 761-9190.Contact Information
Primary practice address
10800 E Geddes Ave Ste 300
Englewood CO 80112-3895
Phone: (303) 761-9190
Fax: (720) 874-4462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 04-40433 | Kansas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 55471 | Colorado |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | DR.0055471 | Colorado |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD19335 | Hawaii |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 30330 | Nebraska |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD166193 | Oregon |
Profile Details
| NPI number | 1780849620 |
|---|---|
| LBN Legal business name | Green, Tyler J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2008 |
| Last updated | Nov 17th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780849620 | NPPES |
| Nebraska | Other | NA1215124 | MEDICARE PIN |
| Nebraska | Other | NA2517101 | MEDICARE PIN |
| Nebraska | Other | 111257111 | MEDICARE PIN |
| Nebraska | Other | 590453YQ3L | MEDICARE PIN |
| Nebraska | Other | 590453YQPG | MEDICARE PIN |
| Nebraska | MEDICAID | 1780849620 | MEDICARE PIN |
| Nebraska | Other | NA1214123 | MEDICARE PIN |
| Nebraska | Other | 590453YQ33 | MEDICARE PIN |
| Nebraska | Other | KA3249102 | MEDICARE PIN |
| Nebraska | Other | 590453YQN9 | MEDICARE PIN |
Popular Providers
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Brown, Anthony Christopher
10800 E Geddes Ave Ste 300 , Englewood CO 80112-3895 -
Bradford, Ray Kartchner
10800 E Geddes Ave Ste 300 , Englewood CO 80112-3895 -
Kassanoff, Benjamin E
501 E Hampden Ave , Englewood CO 80113-2702 -
Stahl, Cosette M.
10800 E Geddes Ave Ste 300 , Englewood CO 80112-3895 -
Martin, Gregory Blain
501 E Hampden Ave , Englewood CO 80113-2702 -
Quintana, David J.
10800 E Geddes Ave Ste 300 , Englewood CO 80112-3895 -
Stratil, Peter Gabriel
10800 E Geddes Ave Ste 300 , Englewood CO 80112-3895 -
Kooy, Todd Lane
10800 E Geddes Ave Ste 300 , Englewood CO 80112-3895