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

Jared Green

Individual provider Emergency Medicine Physician · NPI 1578875811

Jared Green is an Emergency Medicine in Phoenix, Arizona. Qualified in 2010, 16 years ago. Practices with East Valley Ep PLLC, a 15-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
16
Licensed in
AZ
In the registry since
2010

Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence R72049 (AZ)

Record details

NPI number1578875811
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 1, 2010
Last updated in NPPESJuly 1, 2010

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice East Valley Ep Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Phoenix