Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tyson Ellis Green, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1407001787

Dr. Tyson Ellis Green, DPM is a Podiatry in Lake Charles, Louisiana. Graduated from Temple University School of Medicine in 2006, 20 years ago. Practices with Center for Orthopaedics and Spine LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
20
Trained at
Temple University School of Medicine
Licensed in
LA
In the registry since
2008
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1747 Imperial Blvd
Lake Charles, LA 70605-5362
Phone: (337) 721-7236
Fax: (337) 721-7237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DPM200024 (LA)

Record details

NPI number1407001787
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedNovember 30, 2008
Last updated in NPPESJanuary 30, 2017

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Center For Orthopaedics And Spine Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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