JONATHAN GREEN (NPI# 1720425390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720425390 |
| Entity Type | Individual |
| Full Name | JONATHAN GREEN |
| Credential | M.D. |
| Practice Address |
1200 Everett Dr Ste 2320 Oklahoma City OK 73104-5047 |
| Mailing Address |
55 Lake Ave N Worcester MA 01655-0002 |
| Practice Telephone | 4052715922 |
| Mailing Telephone | 5083341000 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 255779 | MA | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
35666 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548652332 | Jonathan Green | Peer Specialist | 710 Terry Ave, Springdale, AR 72764-6804 | 2015-03-03 |
| 1225028210 | Jonathan Green | Physician Assistant | 10444 Sr 66 N, Newburgh, IN 47630-7954 | 2005-10-21 |
| 1760097679 | Jonathan Matthew Green | Pharmacist | 50 Irving St Nw, Washington, DC 20422-0001 | 2020-09-09 |
| 1235601055 | Jonathan Carson Green | Specialist/Technologist | 1000 E Main St, Danville, IN 46122-1948 | 2018-12-18 |
| 1952889347 | Jonathan Jorvell Green | Occupational Therapist | 3101 Ginger Dr, Tallahassee, FL 32308-4437 | 2018-07-30 |
| 1447754098 | Jonathan Green | Physical Therapist | 2620 Scripture St, Denton, TX 76201-4315 | 2018-03-20 |
| 1164930756 | Jonathan Green | Counselor | 5151 Adanson St, Orlando, FL 32804-1330 | 2018-01-17 |
| 1467829192 | Jonathan Michael Green | Specialist/Technologist, Other | 13 S Tejon St Fl 5, Colorado Springs, CO 80903-1513 | 2015-08-28 |
| 1144622382 | Jonathan Green | Registered Nurse | 257 Lafayette Ave, Suffern, NY 10901-4830 | 2014-09-18 |
| 1437568144 | Jonathan Green | Psychologist | 150 S Huntington Ave, 116b-4, Boston, MA 02130-4817 | 2014-08-06 |
| Street Address |
1200 EVERETT DR STE 2320 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295969053 | Michael Loyd Megison | Surgery | 1200 Everett Dr, Chnp 2320, Oklahoma City, OK 73104-5047 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609829431 | Richard D Ranne | Surgery | 1919 S Wheeling Ave Ste 606, Tulsa, OK 74104 | 2006-05-19 |
| 1932162021 | Robert Warren Letton Jr. | Surgery | 103 Deer Creek Rd, Edmond, OK 73003-9370 | 2006-04-10 |
| 1790700649 | Pediatric Surgery, Inc. | Surgery | 6151 S Yale Ave, Suite 305, Tulsa, OK 74136-1907 | 2006-07-13 |
| 1083668826 | Mary H Li | Surgery | 6151 S Yale Ave, Suite 305, Tulsa, OK 74136-1907 | 2006-05-19 |
| 1346292802 | Subramania Jegathesan | Surgery | 1705 E 19th St, Ste 701, Tulsa, OK 74104-5405 | 2006-05-16 |
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on JONATHAN GREEN.
| 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.