MR. WILLIAM ELLIS GREEN SR.


Address: 14 Nw Pleasant View Rdg, Lawton, OK 73505-9503
Phone: 5804835248

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers

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Office Location

Street Address 14 NW PLEASANT VIEW RDG
City LAWTON
State OK
Zip Code 73505-9503

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LAWTON
Zip Code 73505

Improve Information

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Dataset Information

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.

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