Individual provider · Type 1 NPI

Charles Green

Physician Assistant · Indianapolis, IN

NPI number 1730907437 Active

Practice location

931 E 86th St Ste 104
Indianapolis, IN 46240-1852

Fax (317) 257-1488

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10005186A (IN)

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 1730907437

Charles Green's National Provider Identifier is 1730907437, issued on Oct 1, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 11, 2026.