Individual provider · Type 1 NPI

Jonathan Russell Green, PA-C

Physician Assistant · Baltimore, MD

NPI number 1356181531 Active

Practice location

1800 Orleans St
Baltimore, MD 21287-0010

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XC0009439 (MD)
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1356181531

Jonathan Russell Green, PA-C's National Provider Identifier is 1356181531, issued on May 28, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Baltimore, MD. The record was last updated on Aug 21, 2024.