DR. JACK BUCHANEN GREENE (NPI# 1235180134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235180134 |
| Entity Type | Individual |
| Full Name | DR. JACK BUCHANEN GREENE |
| Credential | MD |
| Practice Address |
1120 E 34th St Hibbing MN 55746-2909 |
| Practice Telephone | 2183627100 |
| Mailing Telephone | 2183627100 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23335 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093100406 | Jack Greene | Pharmacist | 10 Radcliff Ter, Oak Ridge, TN 37830-9013 | 2015-04-02 |
| 1659687424 | Jack Clayton Greene | Physical Therapist | 100 Fitness Dr, Fuquay Varina, NC 27526-7263 | 2010-08-31 |
| Street Address |
1120 E 34TH ST |
| City | HIBBING |
| State | MN |
| Zip Code | 55746-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609825041 | Donald Paul Mersch | Family Medicine | 1120 E 34th St, Hibbing, MN 55746-2909 | 2006-05-10 |
| 1376039123 | Meredith Q Johnson | Dietitian, Registered | 1120 E 34th St, Hibbing, MN 55746-2909 | 2018-07-05 |
| 1972030260 | Craig M Petroske | Physical Therapist | 1120 E 34th St, Hibbing, MN 55746-2909 | 2017-05-17 |
| 1700298973 | Roger D Weber | Physical Therapist | 1120 E 34th St, Hibbing, MN 55746-2909 | 2014-05-22 |
| 1689919474 | Theresa Fulton Morrissey | Physical Therapist | 1120 E 34th St, Hibbing, MN 55746-2909 | 2012-12-05 |
| 1326353483 | Tammy Licari | Dietitian, Registered | 1120 E 34th St, Hibbing, MN 55746-2909 | 2010-08-13 |
| 1326238338 | Stephen M Turner | Emergency Medicine | 1120 E 34th St, Hibbing, MN 55746-2909 | 2007-07-26 |
| 1942374210 | Mark Darrel Wagner | Family Medicine | 1120 E 34th St, Hibbing, MN 55746-2909 | 2006-11-20 |
| 1275606881 | Erin Marie Cary | Pharmacist | 1120 E 34th St, Hibbing, MN 55746-2909 | 2006-11-15 |
| 1326110057 | Craig D Baron | Pharmacist | 1120 E 34th St, Hibbing, MN 55746-2909 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594753 | Brekke Lee Johnsrud | Dentist | 2020 1st Avenue, Hibbing, MN 55746 | 2018-07-04 |
| 1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
| 1467870485 | Angela Wivoda | Contractor | 302 East Howard Street, Suite 310, Hibbing, MN 55746 | 2014-04-07 |
| 1871897512 | Nicholas G Ongaro | Chiropractor | 4104 9th Ave W, Hibbing, MN 55746 | 2011-01-10 |
| 1689800153 | Kathleen M Delgreco | Social Worker | 3203 W. 3rd Ave, Hibbing, MN 55746 | 2009-06-10 |
| 1962666461 | Sereen Danielle Sharp | Internal Medicine | 3605 Mayfair Avenue, Hibbing, MN 55746 | 2008-07-14 |
| 1790999274 | Raymond N Sampson | Psychologist | 914 Minnesota St, Hibbing, MN 55746 | 2007-05-10 |
| 1598985517 | Renee Cook | Psychiatry & Neurology | 3203 W. 3rd Ave., Range Mental Health Center-perpich Building, Hibbing, MN 55746 | 2007-05-01 |
| 1841318599 | Nathan Pedersen | Dentist | 802 W 42nd St, Hibbing, MN 55746 | 2007-03-27 |
| 1558406355 | Michael John Quirk | Chiropractor | 1406 East 40th St, Hibbing, MN 55746 | 2007-02-20 |
| Find all providers in zip 55746 | ||||
| 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 |
|---|---|---|---|---|
| 1609825041 | Donald Paul Mersch | Family Medicine | 1120 E 34th St, Hibbing, MN 55746-2909 | 2006-05-10 |
| 1134572092 | Susan Hoyum | Family Medicine | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2016-07-15 |
| 1548429350 | Amanda J Mcdonald | Family Medicine | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2008-06-06 |
| 1184811325 | Kimberly M. Bigelow | Family Medicine | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2007-10-02 |
| 1942374210 | Mark Darrel Wagner | Family Medicine | 1120 E 34th St, Hibbing, MN 55746-2909 | 2006-11-20 |
| 1023182375 | Mary Martha Grahek | Family Medicine | 730 E 34th St, Hibbing, MN 55746-5109 | 2006-11-20 |
| 1679662167 | Kai Kwong Hunt | Family Medicine | 1101 E 37th St, Ste 220, Hibbing, MN 55746-2971 | 2006-10-12 |
| 1265541486 | Craig A Vickstrom | Family Medicine | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2006-08-30 |
| 1457467904 | Jennifer Ann Pedersen | Family Medicine | 730 E 34th St, Hibbing, MN 55746-5109 | 2006-08-21 |
| 1609895226 | Patricia Kay Grahek | Family Medicine | 730 E 34th St, Hibbing, MN 55746-5109 | 2006-07-18 |
| Find all providers in HIBBING | ||||
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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.