Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194798777 Individual Practitioner Male Practitioner

Dr. Eric R Green , MD

Pediatrics • Holland, MI

Professional Overview & Biography Verified Profile Summary

Dr. Eric Green, MD is a registered healthcare professional specializing in Pediatrics in Holland, MI. Practice services are available at 926 S WASHINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

926 S Washington Ave

Holland, MI 494237725

Telephone 6163930166
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Holland, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Holland, MI (2263 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: 2022-10-05
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301080025

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License MI 4301080025

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4409089 TYPE 10 (MI)
Commercial Insurance / Payer ID Physician License
4301080025 (MI)
Commercial Insurance / Payer ID Board Of Pharmacy
5315010080 (MI)

Practice Associates & Co-Workers

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

14 Associated Practitioners
NPI 1053384636

Doctor of Medicine (M.D.)

Angela Smith , ARNP

Nurse Practitioner - Pediatrics

NPI 1063670677

Advanced Registered Nurse Practitioner

NPI 1114141710

Doctor of Osteopathic Medicine (D.O.)

NPI 1316910995

Doctor of Medicine (M.D.)

NPI 1356418925

Doctor of Medicine (M.D.)

Carrita Plaskewicz , CPNP

Nurse Practitioner - Pediatrics

NPI 1366729576

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2012

Registered at 926 S WASHINGTON AVE, HOLLAND, MI 494237725 (Tel: 6163930166)

📍
Updated Business Mailing Address May 01, 2012

Registered at 1990 LEISURE BLVD, HOLLAND, MI 494249076

👤
Provider Name / Credentials Updated May 01, 2012

Recorded as ERIC GREEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2012

Specialist (License #4301080025 in MI)

🟢
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: 1194798777
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

1990 Leisure Blvd

Holland, MI 494249076

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.