Provider Demographics
NPI:1972892149
Name:RIVERS, AMY GREEN (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:GREEN
Last Name:RIVERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MICHELLE
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5115 BERNARD DR STE 201
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:24018-4367
Mailing Address - Country:US
Mailing Address - Phone:540-345-0289
Mailing Address - Fax:
Practice Address - Street 1:1906 BELLEVIEW AVE SE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1838
Practice Address - Country:US
Practice Address - Phone:540-981-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0079186207L00000X
VA0101278519207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology