Jodi C Green (NPI# 1679730576, PAC ID# 1153496179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679730576 |
| PAC ID by PECOS | 1153496179 |
| Professional Enrollment ID | I20080826000303 |
| Full Name | Jodi C Green |
| Organization Legal Name | EMERGENCY PHYSICIANS OF ST LUKES LLC |
| Address |
455 S Kirkwood Rd Kirkwood MO 63122-6119 |
| Phone Number | 3149656871 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779714142 |
| Number of Group Practice Members | 74 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 455 S Kirkwood Rd, Kirkwood, MO 63122-6119 | 3149656871 | EMERGENCY PHYSICIANS OF ST LUKES LLC |
| Organization Legal Name | EMERGENCY PHYSICIANS OF ST LUKES LLC |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan Michelle Henningsen | Family Medicine | Emergency Physicians of St Lukes LLC | 233 Clarkson Rd, Ellisville, MO 63011-2219 |
| Kristina A Potts | Nurse Practitioner | Emergency Physicians of St Lukes LLC | 774 Gravois Bluffs Blvd, Fenton, MO 63026-7758 |
| Katherine E Clancy | Nurse Practitioner | Emergency Physicians of St Lukes LLC | 1080 Lindemann Rd, Des Peres, MO 63131-4526 |
| Katarzyna Anne Kohler | Family Medicine | Emergency Physicians of St Lukes LLC | 233 Clarkson Rd, Ellisville, MO 63011-2219 |
| Brooke E Salas | Nurse Practitioner | Emergency Physicians of St Lukes LLC | 232 S Woods Mill Rd, St Lukes Episcopal Presby Hospitals, Chesterfield, MO 63017-3417 |
| Michael E Fritsche | Emergency Medicine | Emergency Physicians of St Lukes LLC | 232 S Woods Mill Rd, St Lukes Episcopal Presby Hospitals, Chesterfield, MO 63017-3417 |
| Mahmoud A Saleh | Internal Medicine | Emergency Physicians of St Lukes LLC | 232 S Woods Mill Rd, St Lukes Episcopal Presby Hospitals, Chesterfield, MO 63017-3417 |
| Alicia D King | Family Medicine | Emergency Physicians of St Lukes LLC | 232 S Woods Mill Rd, St Lukes Episcopal Presby Hospitals, Chesterfield, MO 63017-3417 |
| Laura Kleemanklein | Nurse Practitioner | Emergency Physicians of St Lukes LLC | 11550 Olive Blvd, Saint Louis, MO 63141-7111 |
| Jennifer L Gwin | Nurse Practitioner | Emergency Physicians of St Lukes LLC | 232 S Woods Mill Rd, St Lukes Episcopal Presby Hospitals, Chesterfield, MO 63017-3417 |
| Street Address |
455 S KIRKWOOD RD |
| City | KIRKWOOD |
| State | MO |
| Zip | 63122-6119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marietta R Caiarelli | Nurse Practitioner | Emergency Physicians of St Lukes LLC | 455 S Kirkwood Rd, Kirkwood, MO 63122-6119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank J Mistretta | Chiropractic | 11229 Manchester Rd, Saint Louis, MO 63122-1122 | |
| Deborah G Lavender | Physical Therapy | 11247 Manchester Rd, Kirkwood, MO 63122-1122 | |
| Linda Patton Walsh | Physical Therapy | Transfiguration Inc | 11247 Manchester Rd, Kirkwood, MO 63122-1122 |
| James W Hankinson | Chiropractic | 11216 Manchester Rd, Kirkwood, MO 63122-1123 | |
| John T Scarlas | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Russell W Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Sherry K Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Dawn Gross | Clinical Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | |
| Lorie M Mcreynolds | Optometry | 11023 Manchester Rd, Kirkwood, MO 63122-1254 | |
| Sidney D Ybarra | Chiropractic | 11029 Manchester Rd, Saint Louis, MO 63122-1254 | |
| Find all physicians in zip 63122 | |||
| City | KIRKWOOD |
| Zip Code | 63122 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KIRKWOOD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jodi C Green.
| 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.