KENNETH R. GREEN M.D.
NPI 1114909512
Internal Medicine, Nephrology in Syracuse,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 19, 2005

Contact Information

1304 Buckley Road
Syracuse,
Post Code: 13212
Phone: (315) 478-3311
Fax: (315) 426-0796

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Kenneth R. Green M.d. in Syracuse - Internal Medicine, Nephrology

Kenneth R. Green M.d. is a Internal Medicine, Nephrology in Syracuse, . Kenneth R. Green M.d. practices all healthcare services and medical treatments related to Internal Medicine, Nephrology. The NPI Number for Kenneth R. Green M.d. is 1114909512. The last update date is 2008-02-14.

Kenneth R. Green M.d.'s current location address is 1304 Buckley Road, Syracuse, . You can contact this provider via phone number (315) 478-3311 and fax number (315) 426-0796. The mailing address for Kenneth R. Green M.d. is 1304 Buckley Road, Syracuse, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114909512
Provider Name
KENNETH R. GREEN M.D.
Gender
Male
Entity Type
Individual
Location Address
1304 Buckley Road, Syracuse,
Location Phone
(315) 478-3311
Location Fax
(315) 426-0796
Mailing Address
1304 Buckley Rd, Syracuse, New York(NY)
Mailing Phone
315-478-3311
Mailing Fax
315-426-0796
Enumeration Date
2005-11-19
Last Update Date
2008-02-14
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine, Nephrology

Taxonomy Code
207RN0300X
Type
-
License No.
130245
License State
New York (NY)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00040696502 Other (non-Medicare) (01) New York (NY) UNIVERA SENIOR CHOICE
000914917001 Other (non-Medicare) (01) New York (NY) HEALTHNOW
00581475 MEDICAID (05) New York (NY)
00914917001 Other (non-Medicare) (01) New York (NY) HEALTHNOW
03260 Other (non-Medicare) (01) New York (NY) EXCELLUS
100029112801 Other (non-Medicare) (01) New York (NY) UNITED HEALTHCARE
10119425 Other (non-Medicare) (01) New York (NY) CDPHP
110044553 Other (non-Medicare) (01) New York (NY) RAILROAD MEDICARE
3300208 Other (non-Medicare) (01) New York (NY) GHi
4535679 Other (non-Medicare) (01) New York (NY) AETNA
719956 Other (non-Medicare) (01) New York (NY) MVP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114909512
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241801852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21241801852
2 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 8 + 5 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1114909512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114909496 BETH ANN STILLINGS
Individual
Dentist 273 E 14TH ST
ELMIRA HEIGHTS, New York (NY)
607-733-0457
1114909322 LOUIS TORTORELLO
Individual
Physical Therapist 98 CUTTERMILL RD
GREAT NECK, New York (NY)
516-466-4118
1114909280 LAWRENCE BRUCE JACOBSBERG
Individual
Psychiatry & Neurology, Psychiatry 220 E 63RD ST
NEW YORK, New York (NY)
212-371-5201
1114909231 JEFFREY H WAX
Individual
Social Worker, Clinical 50 BROADWAY
NEW YORK, New York (NY)
917-305-7739
1114909066 KAREN W MANNING
Individual
Nurse Practitioner, Family 230 S CASCADE DR
SPRINGVILLE, New York (NY)
716-592-3600