Phil J Green (NPI# 1083610752, PAC ID# 5092734772) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083610752 |
| PAC ID by PECOS | 5092734772 |
| Professional Enrollment ID | I20051114000016 |
| Full Name | Phil J Green |
| Address |
223 E Blackwell Ave Greens Country Clinic Blackwell OK 74631-2909 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370030 | BLACKWELL REGIONAL HOSPITAL |
| 370006 | PONCA CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 223 E Blackwell Ave, Greens Country Clinic, Blackwell, OK 74631-2909 |
| Street Address |
223 E BLACKWELL AVE GREENS COUNTRY CLINIC |
| City | BLACKWELL |
| State | OK |
| Zip | 74631-2909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy K Jarvis | Family Practice | Greens Country Clinic LLC | 223 E Blackwell Ave, Greens Country Clinic, Blackwell, OK 74631-2909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Mcguire | Nurse Practitioner | Kay County Oklahoma Hospital Company, LLC | 1005 W Doolin Ave, Blackwell, OK 74631-1350 |
| Carrie Culver | Nurse Practitioner | Kay County Oklahoma Hospital Company, LLC | 1005 W Doolin Ave, Blackwell, OK 74631-1350 |
| Lisa A Kahle | Chiropractic | 1312 W Doolin Ave, Blackwell, OK 74631-1357 | |
| Jeffrey R Shuart | Family Medicine | 115 W Bridge Ave, Blackwell, OK 74631-2800 | |
| Jonathan Wright | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 710 S 13th St, Integris Blackwell Regional Medical Center, Blackwell, OK 74631-3700 |
| Stephen P Zrenda | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 710 S 13th St, Integris Blackwell Regional Medical Center, Blackwell, OK 74631-3700 |
| Melinda Allen | Internal Medicine | 706 S 13th C, Blackwell Hospital Physicians Clinic, Blackwell, OK 74631-3705 | |
| Ronald Matheson | Certified Registered Nurse Anesthetist | Blackwell Hospital Trust Authority | 706 S 13th C, Blackwell Hospital Physicians Clinic, Blackwell, OK 74631-3705 |
| Ken M Schaecher | Physical Therapy | Northern Therapy and Rehabilitation, Inc | 706 S 1st St, Blackwell, OK 74631-3825 |
| Tracy R Mcareavey | Physical Therapy | Northern Therapy and Rehabilitation, Inc | 706 S 1st St, Blackwell, OK 74631-3825 |
| Find all physicians in zip 74631 | |||
| City | BLACKWELL |
| Zip Code | 74631 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BLACKWELL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Phil 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.