Provider Demographics
NPI:1598876740
Name:DR'S GREEN, SCOBIE & ASHBURN, PA
Entity Type:Organization
Organization Name:DR'S GREEN, SCOBIE & ASHBURN, PA
Other - Org Name:CARROLL CHILDREN'S CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCOBIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-848-4424
Mailing Address - Street 1:230 WASHINGTON HEIGHTS MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157
Mailing Address - Country:US
Mailing Address - Phone:410-848-4424
Mailing Address - Fax:410-876-5330
Practice Address - Street 1:230 WASHINGTON HEIGHTS MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157
Practice Address - Country:US
Practice Address - Phone:410-848-4424
Practice Address - Fax:410-876-5330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B70654Medicare UPIN
H04821Medicare UPIN
F29550Medicare UPIN
MD911081000Medicare ID - Type Unspecified
H54936Medicare UPIN