Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720425390 Individual Practitioner Male Practitioner

Dr. Jonathan Green , MD

Surgery - Pediatric Surgery • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Green, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5088562128
Fax 7744432043
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Worcester, MA (55 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: 2022-07-21
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License MA 262955

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 255779

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License OK 35666

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Secondary Practice Locations

1200 Everett Dr Ste 2320

Oklahoma City, OK 731045047

Phone: 4052715922

Practice Associates & Co-Workers

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

7 Associated Practitioners
Justine Vitetta , PA-C

Physician Assistant

NPI 1033666284

Physician Assistant (Certified)

Dr. Pradeep Nazarey , MD

Surgery - Pediatric Surgery

NPI 1386798700

Doctor of Medicine (M.D.)

Dr. Muriel Cleary , MD

Surgery - Pediatric Surgery

NPI 1518127075

Doctor of Medicine (M.D.)

Dr. Jeremy Aidlen , MD

Surgery - Pediatric Surgery

NPI 1750558508

Doctor of Medicine (M.D.)

Dr. Kaitlyn Wong , MD

Surgery - Pediatric Surgery

NPI 1790006773

Doctor of Medicine (M.D.)

Dr. Michael Hirsh , MD

Surgery - Pediatric Surgery

NPI 1861475980

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 21, 2022

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5088562128)

📍
Updated Business Mailing Address July 21, 2022

Registered at PO BOX 415348, BOSTON, MA 022415348

📍
Updated Practice Location June 19, 2020

Registered at 1200 EVERETT DR STE 2320, OKLAHOMA CITY, OK 731045047 (Tel: 4052715922)

NPI Profile Active May 23, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2013

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

📍
Updated Business Mailing Address May 23, 2013

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

👤
Provider Name / Credentials Updated May 23, 2013

Recorded as JONATHAN GREEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2013

Surgery (License #255779 in MA)

🟢
Initial NPI Registration & Enumeration May 23, 2013

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: 1720425390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2013
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

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.