Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700041977 Individual Practitioner Female Practitioner

Dr. Sandra D. Green , MD

Pediatrics • Lexington, KY

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Green, MD is a registered healthcare professional specializing in Pediatrics in Lexington, KY. Practice services are available at 2505 LARKIN RD STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2505 Larkin Rd Ste 103

Lexington, KY 405033256

Telephone 8596001999
Fax 8596001998
Associated Practice Facility / Clinic
🏢 Corner Pediatrics, Psc Facility NPI 1184382525

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
119 Specialists

Practicing in Lexington, KY (910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-31
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 41906

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100104650 (KY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 31, 2022

Registered at 2505 LARKIN RD STE 103, LEXINGTON, KY 405033256 (Tel: 8596001999)

📍
Updated Business Mailing Address January 31, 2022

Registered at 2505 LARKIN RD STE 103, LEXINGTON, KY 405033256 (Tel: 8593398088)

📍
Updated Practice Location May 12, 2020

Registered at 1701 ALEXANDRIA DR, LEXINGTON, KY 405043149 (Tel: 8592773490)

📍
Updated Business Mailing Address May 12, 2020

Registered at 1701 ALEXANDRIA DR, LEXINGTON, KY 405043149 (Tel: 8592773490)

NPI Profile Active February 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2014

Registered at 1780 NICHOLASVILLE RD, SUITE 301, LEXINGTON, KY 405031400 (Tel: 8592776636)

📍
Updated Business Mailing Address February 11, 2014

Registered at 1780 NICHOLASVILLE RD, SUITE 301, LEXINGTON, KY 405031400 (Tel: 8592776636)

👤
Provider Name / Credentials Updated February 11, 2014

Recorded as SANDRA GREEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2014

Pediatrics (License #41906 in KY)

🟢
Initial NPI Registration & Enumeration July 27, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700041977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2008
Last Update: January 31, 2022
Sole Proprietor: No

Mailing Address

2505 Larkin Rd Ste 103

Lexington, KY 405033256

Phone: 8593398088

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.