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Deactivated NPI 1952305708 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Francis Green , MD

Specialist • Independence, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Green has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2005
NPI Deactivation Date May 29, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Green, MD was a registered Specialist practicing in Independence, MO. Throughout an active medical career spanning 13 years, Dr. Green provided care at the practice location at 19550 E 39TH ST S until profile deactivation on 2018-05-29.

Practice Location & Contact Primary Location

Practice Address

19550 E 39th St S
Ste 300

Independence, MO 640572303

Telephone 8164780220
Fax 8167953456
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Independence, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Independence, MO (503 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 MO 35272

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

13 Associated Practitioners
NPI 1053773879
NPI 1073515367

Doctor of Medicine (M.D.)

Lindsay Bedora , RN, APRN, WHNP-BC

Nurse Practitioner - Women's Health

NPI 1073955928

Registered Nurse, Advanced Practice Registered Nurse, Women's Health Nurse Practitioner (Board Certified)

Dr. Kiersten Moreno , MD

Obstetrics & Gynecology

NPI 1114281730

Doctor of Medicine (M.D.)

Dr. Timothy Hall , MD

Obstetrics & Gynecology

NPI 1114921061

Doctor of Medicine (M.D.)

Dr. Alisa Ash , MD

Obstetrics & Gynecology

NPI 1346441342

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 29, 2018

Record deactivated on May 29, 2018

NPI Profile Active April 02, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 02, 2009

Registered at 19550 E 39TH ST S, STE 300, INDEPENDENCE, MO 640572303 (Tel: 8164780220)

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Updated Business Mailing Address April 02, 2009

Registered at 19550 E 39TH ST S, STE 300, INDEPENDENCE, MO 640572303 (Tel: 8164780220)

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Provider Name / Credentials Updated April 02, 2009

Recorded as THOMAS GREEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2009

Specialist (License #35272 in MO)

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Initial NPI Registration & Enumeration June 09, 2005

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: 1952305708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2005
Last Update: April 02, 2009
Deactivation Date: May 29, 2018

Mailing Address

19550 E 39th St S, Ste 300

Independence, MO 640572303

Phone: 8164780220

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.