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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

WAVERLY S GREEN III, MD
580 SAINT JOHNSBURY RD
SUITE 25
LITTLETON, NH03561-3437
 Phone: 603-259-7780
 Fax: 603-444-2769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 29 Physician/Pulmonary Disease
Indicates primary specialty

NPI Profile & details for WAVERLY S GREEN III · (Male)

NPI Number 1235123191
Credentials MD
Entity Individual
Enumeration date 09/07/2005
Last updated 09/24/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
NC License # 9300133
NH License # 15701
NC Medicaid 7937060
NC Medicare PIN 2197993B
NC Medicare UPIN E06853
NC Other 29211 BCBS-IND.
Hospital affiliation(s)
  • COTTAGE HOSPITAL - (Critical Access)
    90 SWIFTWATER RD
    WOODSVILLE, NH 03785
  • LITTLETON REGIONAL HOSPITAL - (Critical Access)
    600 ST JOHNSBURY ROAD
    LITTLETON, NH 03561
  • MARY HITCHCOCK MEMORIAL HOSPITAL - (Acute Care)
    1 MEDICAL CENTER DRIVE
    LEBANON, NH 03756
  • NORTHEASTERN VERMONT REGIONAL HOSPITAL - (Critical Access)
    1315 HOSPITAL DRIVE
    SAINT JOHNSBURY, VT 05819
  • WEEKS MEDICAL CENTER - (Critical Access)
    173 MIDDLE STREET
    LANCASTER, NH 03584
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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