IndividualActive
Jacob Green, M.D.
NPI 1932384773 · Interventional Cardiology Physician · Mesa, AZ
Provider details
- NPI number
- 1932384773
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 054383 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6750 E Baywood Ave
301
Mesa, AZ 85206-1749
Phone: (480) 835-6100
Fax: (480) 505-5295
Approximate (ZIP-level) locationGet directions
Mailing address
6402 E Superstition Springs Blvd Ste 224
Mesa, AZ 85206-4394
Registry dates
- Enumerated
- 2007-12-28
- Last updated
- 2016-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.