Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. James Edward Green, AA, PA

Individual provider Physician Assistant · NPI 1285747378

Mr. James Edward Green, AA, PA is an Anesthesiology Assistant in Grand Rapids, Michigan. Qualified in 1985, 41 years ago. Practices with West Michigan Anesthesia PC, a 81-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
41
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone: (616) 364-4200
Fax: (616) 364-7347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 263 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601001816 (MI)

Record details

NPI number1285747378
Entity typeIndividual (Type 1)
GenderMale
Credentials AA , PA
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESMarch 4, 2013

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice West Michigan Anesthesia Pc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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