Kelly A Green (NPI# 1821489550, PAC ID# 2062733934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1821489550 |
| PAC ID by PECOS | 2062733934 |
| Professional Enrollment ID | I20150603002075 |
| Full Name | Kelly A Green |
| Organization Legal Name | LEGACY SALMON CREEK HOSPITAL |
| Address |
2101 Ne 139th St Vancouver WA 98686-2311 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446295711 |
| Number of Group Practice Members | 168 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500150 | LEGACY SALMON CREEK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2101 Ne 139th St, Vancouver, WA 98686-2311 | LEGACY SALMON CREEK HOSPITAL | |
| 2211 Ne 139th St, Vancouver, WA 98686-2742 | LEGACY SALMON CREEK HOSPITAL |
| Organization Legal Name | LEGACY SALMON CREEK HOSPITAL |
| Physicians | 124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent J Cooper | Nurse Practitioner | Legacy Salmon Creek Hospital | 1625 Se 192nd Ave, Suite 100, Camas, WA 98607-7441 |
| Stanley G Lue | Neurology | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
| Stephanie J Bennett | Nurse Practitioner | Legacy Salmon Creek Hospital | 1000 Se Tech Ctr Dr, Suite 120, Vancouver, WA 98683-5548 |
| Mark F Schray | Radiation Oncology | Legacy Salmon Creek Hospital | 2121 Ne 139 St, Vancouver, WA 98686-2316 |
| John G Buckmaster | Obstetrics/gynecology | Legacy Salmon Creek Hospital | 2101 Ne 139th St, Vancouver, WA 98686-2311 |
| Phillip Cullison Bonner | Internal Medicine | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
| Sanjiv M Panwala | Internal Medicine | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
| Quynh T Tran | Internal Medicine | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
| Louis S Casso-gomez | Internal Medicine | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
| Oscar R Zepeda | Internal Medicine | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
| Street Address |
2101 NE 139TH ST |
| City | VANCOUVER |
| State | WA |
| Zip | 98686-2311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John G Buckmaster | Obstetrics/gynecology | Legacy Salmon Creek Hospital | 2101 Ne 139th St, Vancouver, WA 98686-2311 |
| Jennifer C Oconnor | Obstetrics/gynecology | The Womens Clinic of Vancouver Ps | 2101 Ne 139th St, Suite 350, Vancouver, WA 98686-2313 |
| Cynthia D Gray | Plastic and Reconstructive Surgery | 2101 Ne 139th St, Suite 285, Vancouver, WA 98686-2326 | |
| Candy L Curley | Nurse Practitioner | Legacy Salmon Creek Hospital | 2101 Ne 139th St, Vancouver, WA 98686-2311 |
| Tricia Child | Obstetrics/gynecology | Legacy Salmon Creek Hospital | 2101 Ne 139th St, Suite 250, Vancouver, WA 98686-2311 |
| Kimberly M Pizarek | Physician Assistant | Legacy Salmon Creek Hospital | 2101 Ne 139th St, Vancouver, WA 98686-2311 |
| Cecilia M Dominguez | Psychologist, Clinical | Legacy Salmon Creek Hospital | 2101 Ne 139th St, Vancouver, WA 98686-2311 |
| Deborah L Saner | Obstetrics/gynecology | The Womens Clinic of Vancouver Ps | 2101 Ne 139th St, Suite 350, Vancouver, WA 98686-2313 |
| Eun Jung Yi | Anesthesiology | Legacy Salmon Creek Hospital | 2101 Ne 139th St, Vancouver, WA 98686-2311 |
| Natashia Madrid Heimburger | Obstetrics/gynecology | The Womens Clinic of Vancouver Ps | 2101 Ne 139th St, Suite 350, Vancouver, WA 98686-2313 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Kovaric | Cardiovascular Disease (cardiology) | The Vancouver Clinic Inc Ps | 2525 Ne 139 St, The Vancouver Clinic, Vancouver, WA 98686-1240 |
| Peggy D Stein | Occupational Therapy | The Vancouver Clinic Inc Ps | 2525 Ne 139 St, The Vancouver Clinic, Vancouver, WA 98686-1240 |
| Donna Rae Stiles | Certified Nurse Midwife | The Vancouver Clinic Inc Ps | 2525 Ne 139 St, The Vancouver Clinic, Vancouver, WA 98686-1240 |
| Natalya N Nadal | Pediatric Medicine | The Vancouver Clinic Inc Ps | 2525 Ne 139 St, Vancouver, WA 98686-1240 |
| Gene R Conley Jr. | Internal Medicine | Kaiser Foundation Health Plan of The Northwest | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 |
| Thuy Lien T Hoang | Family Medicine | Kaiser Foundation Health Plan of The Northwest | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 |
| Cynthia W Colven | Family Medicine | Kaiser Foundation Health Plan of The Northwest | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 |
| Laura M Keels | Nurse Practitioner | Kaiser Foundation Health Plan of The Northwest | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 |
| Michelle L Rodgers | Diagnostic Radiology | Kaiser Foundation Health Plan of The Northwest | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 |
| Karl H Kim | Gastroenterology | Kaiser Foundation Health Plan of The Northwest | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 |
| Find all physicians in zip 98686 | |||
| City | VANCOUVER |
| Zip Code | 98686 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VANCOUVER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly A 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.