Mr. Kevin Joseph Green, P.A — NPI 1053521302

Mr. Kevin Joseph Green, P.A’s National Provider Identifier is 1053521302. NPPES classifies this as a Type 1 individual record and reports a practice location in Johnstown, Pennsylvania. The primary taxonomy is Physician Assistant.

Key facts

NPI
1053521302
Entity type
Type 1 individual
NPPES status
Active in the August 10, 2026 snapshot
Practice location
1450 SCALP AVE, SUITE 106
Johnstown, Pennsylvania 15904
Practice telephone
(814) 266-8466
Primary taxonomy
Physician Assistant (363A00000X)
Physician Assistants & Advanced Practice Nursing Providers › Physician Assistant
Enumeration date
May 23, 2007
NPPES last update
April 25, 2014
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Mr. Kevin Joseph Green, P.A?

The NPI listed for Mr. Kevin Joseph Green, P.A in the NPPES snapshot is 1053521302. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1053521302 an individual or organization record?

NPPES records NPI 1053521302 as an Entity Type 1 record, which CMS assigns to an individual health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 1450 SCALP AVE, SUITE 106, Johnstown, Pennsylvania 15904.

What taxonomy codes are listed for this NPI?

One taxonomy code is listed: Physician Assistant (363A00000X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of April 25, 2014 and an enumeration date of May 23, 2007, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Johnstown, Pennsylvania NPI directory and the Pennsylvania NPI directory.

Other published profiles in Johnstown, PA

Up to ten other profiles this site publishes for Johnstown, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 48 published profiles.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.