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

Jonathan Green, MD

Individual provider Surgery Physician · NPI 1720425390

Jonathan Green, MD is a Surgery Physician in Worcester, Massachusetts. Works from 2 locations. Licensed in Massachusetts and Oklahoma.

Licensed in
MA, OK
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 856-2128
Fax: (774) 443-2043
Show map & directions

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

Additional practice locations (1)

  • 1200 Everett Dr Ste 2320, Oklahoma City, OK 73104-5047 — (405) 271-5922

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 262955 (MA)
Surgery Physician Taxonomy 208600000X · Licence 255779 (MA)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 35666 (OK)

Record details

NPI number1720425390
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2013
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing addressPo Box 415348, Boston, MA 02241-5348

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