DR. Tyson Ellis Green D.P.M.

  • NPI 1407001787
According to our database, the NPI number for DR. Tyson Ellis Green D.P.M. is 1407001787 and activated since 15 years ago. DR. Tyson Ellis Green D.P.M. is an individual provider who specializes in Foot & Ankle Surgery, and the primary practice location is 1747 Imperial Blvd, Lake Charles, LA 70605. You can also contact DR. Tyson Ellis Green D.P.M. via telephone number is (337) 721-7236. Provider NPI information was last updated on 01/30/2017.

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Overview of DR. Tyson Ellis Green D.P.M.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/30/2008
  • Last updated: 01/30/2017

Primary Scrop of Practice

  • Taxonomy Code: 213ES0103X
  • Specialty: Foot & Ankle Surgery
  • License Number: DPM200024
  • License State: LA

Provider Mailing Address

  • Address: 501 Dr Michael Debakey Dr
    Lake Charles, LA 70601
  • Phone: 337-312-8258
  • Fax: 337-312-6711

Provider Practice Location

  • Address: 1747 Imperial Blvd
    Lake Charles, LA 70605
  • Phone: 337-721-7236
  • Fax: 337-721-7237

Scope of Practice

  • Taxonomy Code: 213ES0103X
  • Specialty: Foot & Ankle Surgery
  • License Number: DPM200024
  • License State: LA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1805033
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: LA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Tyson Ellis Green D.P.M.?
  • A: The npi number for DR. Tyson Ellis Green D.P.M. is 1407001787.
  • Q: What are DR. Tyson Ellis Green D.P.M.'s specialties?
  • A: DR. Tyson Ellis Green D.P.M.'s specialties are Foot & Ankle Surgery and different specialities.
  • Q: What is the medical license for DR. Tyson Ellis Green D.P.M.?
  • A: The medical license number for DR. Tyson Ellis Green D.P.M. is DPM200024 and issued in LA in USA.
  • Q: Where is DR. Tyson Ellis Green D.P.M. practice location?
  • A: DR. Tyson Ellis Green D.P.M. is practicing at 1747 Imperial Blvd, Lake Charles, LA 70605.
  • Q: How to contact DR. Tyson Ellis Green D.P.M.?
  • A: You can contact DR. Tyson Ellis Green D.P.M. via 337-721-7236.
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