Richard J Green (NPI# 1215049762, PAC ID# 2668412636) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215049762 |
| PAC ID by PECOS | 2668412636 |
| Professional Enrollment ID | I20050510000007 |
| Full Name | Richard J Green |
| Address |
213 Vine St Johnstown PA 15901-1518 |
| Gender | M |
| Credential | MD |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390110 | CONEMAUGH MEMORIAL MEDICAL CENTER |
| 390112 | WINDBER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 213 Vine St, Johnstown, PA 15901-1518 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% |
| Street Address |
213 VINE ST |
| City | JOHNSTOWN |
| State | PA |
| Zip | 15901-1518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Tredennick | Clinical Social Worker | Pediatric Care Specialists | 10 Main St, Johnstown, PA 15901 |
| Tim A Arlow | Ophthalmology | Ophthalmic Associates | 120 Main St, Johnstown, PA 15901-1507 |
| Joseph R Polito | Ophthalmology | Ophthalmic Associates | 120 Main St, Johnstown, PA 15901-1507 |
| Erik B Mauzy | Optometry | Ophthalmic Associates | 120 Main St, Johnstown, PA 15901-1507 |
| John J Brozetti | Ophthalmology | Ophthalmic Associates | 120 Main St, Johnstown, PA 15901-1507 |
| Nathan E Isaacson | Optometry | Ophthalmic Associates | 120 Main St, Johnstown, PA 15901-1507 |
| Richard C Irwin | Optometry | Ophthalmic Associates | 120 Main St, Johnstown, PA 15901-1507 |
| Leah M Stevens | Optometry | Ophthalmic Associates | 120 Main St, Johnstown, PA 15901-1507 |
| Joel A Bezek | Ophthalmology | Ophthalmic Associates | 120 Main St, Johnstown, PA 15901-1507 |
| Donald M Leckey | Optometry | Ophthalmic Associates | 120 Main St, Johnstown, PA 15901-1507 |
| Find all physicians in zip 15901 | |||
| City | JOHNSTOWN |
| Zip Code | 15901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JOHNSTOWN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard J 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.