Gina Ann Green (NPI# 1083114730, PAC ID# 0941562284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083114730 |
| PAC ID by PECOS | 0941562284 |
| Professional Enrollment ID | I20180326000951 |
| Full Name | Gina Ann Green |
| Organization Legal Name | SHC MEDICAL PARTNERS OF KENTUCKY, LLC |
| Address |
1120 Cristland Rd Louisville KY 40214-4150 |
| Phone Number | 5023670104 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153406301 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1120 Cristland Rd, Louisville, KY 40214-4150 | 5023670104 | SHC MEDICAL PARTNERS OF KENTUCKY, LLC |
| 2529 Six Mile Ln, Louisville, KY 40220-2934 | 5024915560 | SHC MEDICAL PARTNERS OF KENTUCKY, LLC |
| Organization Legal Name | SHC MEDICAL PARTNERS OF KENTUCKY, LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances Danielle Mehicic | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 599 Rogersville Rd, Radcliff, KY 40160-9321 |
| Deborah Ann Zinsius | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 2100 Millvale Rd, Louisville, KY 40205-1604 |
| Calli Morgan Cox | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 717 N Lincoln Blvd, Hodgenville, KY 42748-1622 |
| Meng Zhang | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 50 Shepherd Ln, Bedford, KY 40006-7845 |
| Angelique Marie Leist | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1877 Farnsley Rd, Louisville, KY 40216-4701 |
| Kambra J Long | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1614 W Parrish Ave, Owensboro, KY 42301-3535 |
| Kristin J Bowman | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 260 S Mayo Trl, Pikeville, KY 41501-1520 |
| Rohan Alexander | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 4700 Quinn Dr, Louisville, KY 40216-2943 |
| Jennifer S Moore | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 79 Sparrow St, Prestonsburg, KY 41653-1336 |
| Yvonne T Pfanenstiel | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 114 E Mcmurtry Ave, Hartford, KY 42347-1614 |
| Street Address |
1120 CRISTLAND RD |
| City | LOUISVILLE |
| State | KY |
| Zip | 40214-4150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela S Dale | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1120 Cristland Rd, Louisville, KY 40214-4150 |
| Emilie Hood | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1120 Cristland Rd, Louisville, KY 40214-4150 |
| Shannon Gagliardi | Nurse Practitioner | 1120 Cristland Rd, Louisville, KY 40214-4150 | |
| Jennifer Lynn Gordon | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1120 Cristland Rd, Louisville, KY 40214-4150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore Wandzilak | Ophthalmology | Kentucky Eye Surgery Associates Psc | 4940 Hazelwood Ave, Louisville, KY 40214-1270 |
| Rishi Verma Kumar | Ophthalmology | Kentucky Eye Surgery Associates Psc | 4940 Hazelwood Ave, Louisville, KY 40214-1270 |
| Sushil V Kumar | Ophthalmology | Kentucky Eye Surgery Associates Psc | 4940 Hazelwood Ave, Louisville, KY 40214-1270 |
| Guomin Jiang | Optometry | Kentucky Eye Surgery Associates Psc | 4940 Hazelwood Ave, Louisville, KY 40214-1270 |
| Daryl K Potter | Podiatry | Foot and Ankle Care, Psc | 4602 Southern Pkwy, Suite 1b, Louisville, KY 40214-1442 |
| Judy N Outsa | Podiatry | Foot and Ankle Care, Psc | 4602 Southern Pkwy, Suite 1b, Louisville, KY 40214-1442 |
| Valerie J Rash | Podiatry | Kentucky Podiatry Pllc | 4602 Southern Pkwy, 1b, Louisville, KY 40214-1442 |
| Rosenberg A Reyes | Family Medicine | 320 W Woodlawn Ave, Louisville, KY 40214-1924 | |
| Arthi Devaraju Kaundar | Family Medicine | Family Health Centers, Inc. | 4805 Southside Dr, Louisville, KY 40214-2111 |
| Jamie L Martens | Nurse Practitioner | Family Health Centers, Inc. | 4805 Southside Dr, Louisville, KY 40214-2111 |
| Find all physicians in zip 40214 | |||
| City | LOUISVILLE |
| Zip Code | 40214 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOUISVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.