DR. PATRICK NELSON GREEN (NPI# 1144431800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144431800 |
| Entity Type | Individual |
| Full Name | DR. PATRICK NELSON GREEN |
| Other Name | PAT GREEN |
| Credential | M.D. |
| Practice Address |
134 W 1180 N Suite # 5 Tooele UT 84074 |
| Practice Telephone | 4352480333 |
| Practice Fax Number | 4352480334 |
| Mailing Telephone | 4352480333 |
| Mailing Fax Number | 4352480334 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2011-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 6846499-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377642 | Patrick Green | Student in an Organized Health Care Education/Training Program | 371 Oakwood Trl, Fairview, TX 75069-8722 | 2020-05-11 |
| 1710485719 | Patrick Green | Chiropractor | 400 W Peachtree St Nw Ste 4-672, Atlanta, GA 30308-3536 | 2018-01-25 |
| 1336640473 | Patrick Allen Green | Health Educator | 28 Midway St, Bristol, TN 37620-1706 | 2018-02-23 |
| 1649714726 | Patrick Green | Specialist | 267 Ocean Ave, Portland, ME 04103-5707 | 2016-12-08 |
| 1356729289 | Patrick Green | Hospitalist | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2015-05-12 |
| 1033378971 | Patrick Daniel Green | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-06-05 |
| 1255375143 | Patrick E Green | Physical Therapist | 15 South Main Street, Suite 220, Jamestown, NY 14701 | 2006-06-15 |
| Street Address |
134 W 1180 N SUITE # 5 |
| City | TOOELE |
| State | UT |
| Zip Code | 84074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407105661 | Brock Howick | Social Worker | 134 W 1180 N, Tooele, UT 84074-1483 | 2012-09-04 |
| 1932488426 | John L Walters | Social Worker | 134 W 1180 N, Suite 4, Tooele, UT 84074-1483 | 2011-08-15 |
| 1467759514 | George Alva Blackburn | Counselor | 134 W 1180 N, Tooele, UT 84074-1483 | 2011-02-24 |
| 1699953752 | Tooele Family Chiropractic, Inc. | Chiropractor | 134 W 1180 N, Suite #5, Tooele, UT 84074-1483 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447436 | Cristi Bissegger-cozad | Family Medicine | 502 Delancey St, Tooele, UT 84074-7430 | 2019-10-06 |
| 1033412481 | Valley Family Medicine PC | Family Medicine | 2376 N 400 E Ste 102, Tooele, UT 84074-3413 | 2010-12-07 |
| 1144319997 | An Tuong Dinh | Family Medicine | 210 Millpond, Tooele, UT 84074-8187 | 2006-10-12 |
| 1619327871 | Alex Laventure | Family Medicine | 777 N Main St, Tooele, UT 84074-1611 | 2016-06-20 |
| 1306283056 | Bradley Lynn Stoker | Family Medicine | 777 N Main St, Tooele, UT 84074-1611 | 2013-06-03 |
| 1770766586 | Sergio Abarca, M.d., Inc | Family Medicine | 2356 N 400 E, Ste 201, Tooele, UT 84074 | 2007-12-14 |
| 1184807992 | Blake R. Beazer, M.d., Inc | Family Medicine | 2356 N 400 E, Ste. 201, Tooele, UT 84074-3409 | 2007-12-14 |
| 1689772519 | Charles E Holt | Family Medicine | 280 N Main St, Tooele, UT 84074-1650 | 2006-09-21 |
| 1043243850 | Jay M. Spector,m.d.,llc | Family Medicine | 1929 Aaron Dr, Suite I, Tooele, UT 84074-8112 | 2006-07-08 |
| 1144251711 | Carolyn Forbes | Family Medicine | 2376 N 400 E, Ste 102, Tooele, UT 84074-3413 | 2006-07-05 |
| Find all providers in TOOELE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.