Provider Demographics
NPI:1295858512
Name:GREEN, WILLIAM SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SCOTT
Last Name:GREEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3838 CALIFORNIA ST
Mailing Address - Street 2:SUITE 715
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1522
Mailing Address - Country:US
Mailing Address - Phone:415-668-8010
Mailing Address - Fax:415-752-2560
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:SUITE 715
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1522
Practice Address - Country:US
Practice Address - Phone:415-668-8010
Practice Address - Fax:415-752-2560
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA95223207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1295858512OtherNPI
26871681OtherBTMG NPI
086777OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
RES000Medicare UPIN