MR. WILLIAM ELLIS GREEN SR. (NPI# 1730429663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730429663 |
Entity Type | Individual |
Full Name | MR. WILLIAM ELLIS GREEN SR. |
Practice Address |
14 Nw Pleasant View Rdg Lawton OK 73505-9503 |
Practice Telephone | 5804835248 |
Mailing Telephone | 5804835248 |
Enumeration Date | 2013-03-01 |
Last Update Date | 2013-03-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
1285037184 | William Green IIi | Counselor | 3457 Joyce St, Philadelphia, PA 19134-2621 | 2014-10-06 |
1669892485 | William Green | Specialist/Technologist | 641 N Cliff St, Carrollton, GA 30117-2207 | 2014-04-19 |
1528339546 | William Henry Green | Social Worker | 30 Johnson Ave, Cranford, NJ 07016-2639 | 2012-01-23 |
1154604023 | William Green | Dentist | 772 S Dora St, Ukiah, CA 95482-5336 | 2011-09-27 |
1659542942 | William Thomas Green | Dentist | 13128 Warwick Blvd, Newport News, VA 23602 | 2008-03-14 |
1649496480 | William Francis Green | Counselor | 306 E 13th Ave, North Wildwood, NJ 08260-5624 | 2007-04-18 |
1811038219 | William Harry Green | Internal Medicine | 103 Mercury Ct, Mukwonago, WI 53149-1714 | 2007-02-09 |
1164572202 | William Edward Green Jr. | Chiropractor | 310 Parks Drive, Normandy, TN 37360 | 2007-01-11 |
1033276431 | William M Green | Psychologist | 401 1 2 Sherman, Suite 206, Coeur D Alene, ID 83814-2777 | 2007-01-03 |
Street Address |
14 NW PLEASANT VIEW RDG |
City | LAWTON |
State | OK |
Zip Code | 73505-9503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
Find all providers in zip 73505 |
Taxonomy Code | 103TR0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326485129 | Debra Antley | Psychologist | 1501 Sw 69th Street, Lawton, OK 73505 | 2013-06-03 |
1366884256 | Talib Hashim Zambezi | Psychologist | 2305 Sw H Ave, 1, Lawton, OK 73505-8103 | 2013-07-22 |
1225476245 | Kay Louise Specht | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2013-06-12 |
1265777122 | Ashley Hugley | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-12-04 |
1093063836 | Elizabeth Ayala | Psychologist | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2012-08-28 |
1558617548 | Patricia Jacquelyn Hughes | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-07-27 |
1740536721 | Tiffani Ann Keller | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-07-27 |
1942574793 | Jacob Austin Slagle | Psychologist | 807 Sw F Ave, Lawton, OK 73501-4506 | 2012-02-25 |
1467772970 | Vanessa Neal | Psychologist | 807 Sw F Ave, Lawton, OK 73501-4506 | 2010-06-07 |
1942527627 | Henri Jo Ball | Psychologist | 807 Sw F Ave, Lawton, OK 73501-4506 | 2010-04-21 |
Find all providers in LAWTON |
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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.