TIMOTHY GREEN (NPI# 1457739039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457739039 |
| Entity Type | Individual |
| Full Name | TIMOTHY GREEN |
| Credential | M.D. |
| Practice Address |
1020 Lenape Dr Nowata OK 74048 |
| Mailing Address |
1020 Lenape Dr Nowata OK 74048-4403 |
| Practice Telephone | 9182730192 |
| Practice Fax Number | 9182730194 |
| Mailing Telephone | 9182730192 |
| Mailing Fax Number | 9182730194 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 31695 | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7501 S Riverside Pkwy, Tulsa, OK 74136 | 9187104200 | 9182933155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887265 | Timothy J Green | Speech-Language Pathologist | 6 Wolcott St, Wakefield, MA 01880-1528 | 2013-09-11 |
| 1558537936 | Timothy E Green | Chiropractor | 205 E Boundry St, Farmerville, LA 71241-2353 | 2008-05-05 |
| 1740809920 | Timothy Francis Green | Social Worker | 1150 S Olive St Ste 1400, Los Angeles, CA 90015-2871 | 2020-04-08 |
| 1356324537 | Timothy Green | Physician Assistant | 181 Daniel Rd, Ste A, Forest City, NC 28043-7151 | 2005-11-22 |
| Street Address |
1020 LENAPE DR |
| City | NOWATA |
| State | OK |
| Zip Code | 74048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649216441 | Cherokee Nation | Durable Medical Equipment & Medical Supplies | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2006-06-21 |
| 1376163303 | Kaila L Covert | Clinical Nurse Specialist | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2020-04-20 |
| 1629612080 | Mary Elizabeth Gassett | Clinical Nurse Specialist | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2019-10-29 |
| 1134697485 | Alexandria Micae Trentman | Dietitian, Registered | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2018-11-05 |
| 1336669571 | Kathy Ann Bussey | Registered Nurse | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2017-06-20 |
| 1023554409 | Kaylan Nicole Reeder | Registered Nurse | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2017-01-10 |
| 1720523871 | Jill Seale | Licensed Practical Nurse | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2016-12-28 |
| 1659753739 | Emily Lambeth | Dietitian, Registered | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2015-06-24 |
| 1225438682 | Tasha Sue Lunsford | Nurse Practitioner | 1020 Lenape Dr, None, Nowata, OK 74048-4403 | 2014-09-03 |
| 1710396965 | Anthony Battese | Optometrist | 1020 Lenape Dr, Nowata, OK 74048-4403 | 2014-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647142 | Lacey Catherine Woolman | Case Manager/Care Coordinator | 114 W. Deleware Ave, Nowata, OK 74048 | 2020-07-27 |
| 1891261095 | Kristina E Edens | Counselor | 114 W Deleware, Nowata, OK 74048 | 2018-10-16 |
| 1497247142 | Dustin James Lang | Counselor | 111 W Deleware, Nowata, OK 74048 | 2018-05-30 |
| 1679011928 | Melanie Jane Cline | Counselor | 114 West Delaware, Nowata, OK 74048 | 2017-02-07 |
| 1063955276 | Rebecca A Kidwell | Registered Nurse | 1024 Lenape Drive, Nowata, OK 74048 | 2016-11-21 |
| 1477724912 | City of Nowata Medical Trust Authority | Ambulance | 425 S. Cedar, Nowata, OK 74048 | 2008-03-12 |
| 1023238235 | Charles F Danley | Counselor | 114 W Delaware, Nowata, OK 74048 | 2007-04-27 |
| 1730221177 | Robert Bruce Rickards | Dentist | 117 W Delaware Ave, Nowata, OK 74048 | 2007-02-13 |
| 1023156791 | Debra Keith | Physician Assistant | 237 S Locust, Nowata, OK 74048 | 2007-02-02 |
| 1942390406 | Harold Lowell Meister | Optometrist | 111 North Maple Street, Nowata, OK 74048 | 2006-10-13 |
| Find all providers in zip 74048 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222038 | Miloni Mukesh Parmar | Internal Medicine | 800 Stanton L Young Blvd Aat 6300, Oklahoma City, OK 73104-5018 | 2020-07-16 |
| 1073133880 | Dr Brandon Bailey Do Pllc | Internal Medicine | 3621 S Elder Blvd, Broken Arrow, OK 74011-1755 | 2020-04-22 |
| 1295366540 | Rebecca Wright Do Pllc | Internal Medicine | 18405 S 4190 Rd, Claremore, OK 74017-5366 | 2020-01-27 |
| 1376181479 | Meraki Wellness Group, LLC | Internal Medicine | 1211 N Shartel Ave Ste 802, Oklahoma City, OK 73103-2425 | 2019-12-19 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1033688270 | Results Medical Aesthetics LLC | Internal Medicine | 8014 S. 101st E. Ave., Suite 200, Tulsa, OK 74133-4580 | 2018-11-16 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1770068827 | Absolute Health Medical Partners LLC | Internal Medicine | 1305 Nw 187th St, Edmond, OK 73012-6206 | 2018-09-25 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1407349442 | Sarah Monther Nimri | Internal Medicine | 1200 Childrens Ave Ste 14046, Oklahoma City, OK 73104-4637 | 2018-06-13 |
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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.