STEPHEN R. GREEN (NPI# 1780742528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780742528 |
| Entity Type | Individual |
| Full Name | STEPHEN R. GREEN |
| Credential | M.D. |
| Practice Address |
1401 East Van Buren Avenue Mcalester OK 74501 |
| Mailing Address |
6600 South Yale Suite 1400 Tulsa OK 74136 |
| Practice Telephone | 9184260240 |
| Practice Fax Number | 9184234051 |
| Mailing Telephone | 9184886001 |
| Mailing Fax Number | 9184886010 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 26629 | OK | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 26043 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009962015 | 05 | |
| OK | 200215670A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255976551 | Stephen Robert Green | Specialist/Technologist | 1515 Lee Rd, Guilford, VT 05301-8520 | 2019-11-10 |
| 1285970830 | Stephen Tyler Green | Student in an Organized Health Care Education/Training Program | 993 Muirfield Dr, Marietta, GA 30068-2643 | 2012-12-28 |
| 1265456453 | Stephen C Green | Dentist | 37 North Ave, Norwalk, CT 06851 | 2006-07-27 |
| 1770508145 | Stephen Kelly Green | Chiropractor | 4200 Wade Green Rd Nw, Suite 27, Kennesaw, GA 30144-1237 | 2006-07-13 |
| 1215901475 | Stephen G Green | Chiropractor | 11 Webster Avenue, Suite 3, Goshen, NY 10924 | 2006-02-15 |
| 1881679595 | Stephen Mark Green | Nurse Anesthetist, Certified Registered | 1376 Acworth Rd, Charlestown, NH 03603-4650 | 2005-12-14 |
| 1740289503 | Stephen Alan Green | Psychiatry & Neurology | 5410 Connecticut Ave Nw Ste 109, Washington, DC 20015-2819 | 2005-07-14 |
| 1245774397 | Stephen Green | Physician Assistant | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-12-08 |
| 1679987309 | Stephen C. Green | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2014-06-20 |
| 1275750713 | Stephen H Green | Surgery | 285 Sills Rd, Building 2 Suite A, Patchogue, NY 11772 | 2007-04-19 |
| Street Address |
1401 EAST VAN BUREN AVENUE |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| 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 |
|---|---|---|---|---|
| 1841385325 | Jinok Chung | Internal Medicine | 721 S George Nigh Expy Ste A, Mcalester, OK 74501-7400 | 2006-10-03 |
| 1750325015 | Douglas Randall Brown | Internal Medicine | 727 E Wyandotte Ave, Mcalester, OK 74501-5451 | 2006-06-16 |
| 1700883261 | John Eric Raunikar | Internal Medicine | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2005-06-30 |
| 1386253862 | Caring Hands Healthcare Centers Inc | Internal Medicine | 200 S 3rd St, Mcalester, OK 74501-5420 | 2020-07-30 |
| 1720500945 | Tilak Raj Sharma | Internal Medicine | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2017-07-10 |
| 1538592332 | Mcalester Regional Health Center Mrhc Clinics | Internal Medicine | 1 E Clark Bass Blvd, Attn: Tyra Rolan, Mcalester, OK 74501-4209 | 2013-08-15 |
| 1356787774 | Mcalester Regional Health Center Mrhc Clinics | Internal Medicine | 3 E Clark Bass Blvd, Suite 1, Mcalester, OK 74501-4283 | 2013-05-13 |
| 1043500820 | Dr. Dong Zhao, M.d., P.l.l.c | Internal Medicine | 3 E Clark Bass Blvd, Suite 3, Mcalester, OK 74501-4283 | 2011-04-13 |
| 1962660688 | Misty Quinn Branam | Internal Medicine | 4 E Clark Bass Blvd, Suite 301, Mcalester, OK 74501-4269 | 2008-05-29 |
| 1518133842 | Revathi Chikkappaiah Belur | Internal Medicine | 4 E Clark Bass Blvd, 203, Mcalester, OK 74501-4269 | 2008-05-06 |
| Find all providers in MCALESTER | ||||
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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.