Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Derrick Richard Green, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1952644460

Dr. Derrick Richard Green, MD is a Pathology in Charleston, West Virginia. Graduated from University of Tennessee, Hsc, College of Medicine in 2013, 13 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and West Virginia.

Years since qualifying
13
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
PA, WV
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3200 Maccorkle Ave SE Dept OF Pathology
Charleston, WV 25304-1297
Phone: (304) 388-5550
Fax: (304) 388-4352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 232 W 25th St, Erie, PA 16544-0002 — (814) 452-5000

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 26706 (WV)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MD492362C (PA)

Record details

NPI number1952644460
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2013
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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