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Active NPI 1346213071 Individual Practitioner Male Practitioner

David Tyler Green , MA, LAT, ATC

Specialist • Richmond, KY

Professional Overview & Biography Verified Profile Summary

David Green, MA, LAT, ATC is a registered healthcare professional specializing in Specialist in Richmond, KY. Practice services are available at 521 LANCASTER AVE. MOBERLY 203 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

521 Lancaster Ave. Moberly 203
Eastern Kentucky University

Richmond, KY 40475

Telephone 8596222140
Fax 8596228857

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Richmond, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Richmond, KY (431 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License KY AT024

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Tara Bailey , MS, ATC

Specialist/Technologist - Athletic Trainer

NPI 1053742692

Master of Science, Certified Athletic Trainer

Samyra Safraoui , ATC

Specialist/Technologist - Athletic Trainer

NPI 1083045603

Certified Athletic Trainer

Tim Pike , ATC

Specialist/Technologist - Athletic Trainer

NPI 1235359282

Certified Athletic Trainer

Brian Benitez , ATC

Specialist/Technologist - Athletic Trainer

NPI 1538757448

Certified Athletic Trainer

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2014

Registered at 521 LANCASTER AVE. MOBERLY 203, EASTERN KENTUCKY UNIVERSITY, RICHMOND, KY 40475 (Tel: 8596222140)

📍
Updated Business Mailing Address August 08, 2014

Registered at 146 GENERAL NELSON DR, RICHMOND, KY 404758698 (Tel: 8596222140)

👤
Provider Name / Credentials Updated August 08, 2014

Recorded as DAVID GREEN, MA, LAT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2014

Specialist (License #AT024 in KY)

🟢
Initial NPI Registration & Enumeration February 13, 2006

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: 1346213071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: August 08, 2014
Sole Proprietor: Yes

Mailing Address

146 General Nelson Dr

Richmond, KY 404758698

Phone: 8596222140

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.