Todd R Green


Address: 8100 Pioneer Dr, Anchorage, AK 99504-4711
Phone: 9072434677

Todd R Green (NPI# 1215156948, PAC ID# 6608962592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1215156948
PAC ID by PECOS 6608962592
Professional Enrollment ID I20071024000156
Full Name Todd R Green
Address 8100 Pioneer Dr
Anchorage
AK 99504-4711
Phone Number 9072434677
Gender M
Medical School UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year 1984
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
020001 PROVIDENCE ALASKA MEDICAL CENTER

Other Locations

Address Phone Organization
8100 Pioneer Dr, Anchorage, AK 99504-4711 9072434677
8100 Pioneer Dr, Unit A, Anchorage, AK 99504-4711 9072434677

Organization Information

Office Location

Street Address 8100 PIONEER DR
City ANCHORAGE
State AK
Zip 99504-4711

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Alvaro E Rosales Internal Medicine Aer Medical LLC 9100 Centennial Cir, Anchorage, AK 99504-1480
Triin T Minton Family Medicine Providence Health and Services Washington 920 Compassion Cir, Anchorage, AK 99504-1645
Elizabeth Martinez Augustin Internal Medicine Providence Health and Services Washington 910 Compassion Cir, Anchorage, AK 99504-1645
Keith Konkol Internal Medicine Providence Health and Services Washington 920 Compassion Cir, Anchorage, AK 99504-1645
Genna Fox Nurse Practitioner Providence Health and Services Washington 910 Compassion Cir, Anchorage, AK 99504-1645
Isabel Vesely Nurse Practitioner Patients First Medical Clinic LLC 6307 Debarr Rd C, Anchorage, AK 99504-1783
Stephanie Wrightsman Birch Nurse Practitioner Patients First Medical Clinic LLC 6307 Debarr Rd C, Anchorage, AK 99504-1783
Bennett J Jackson Nurse Practitioner Patients First Medical Clinic LLC 6307 Debarr Rd C, Anchorage, AK 99504-1783
Faye Sai Duchanin Physician Assistant Patients First Medical Clinic LLC 6307 Debarr Rd C, Anchorage, AK 99504-1783
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Competitor

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City ANCHORAGE
Zip Code 99504
Specialty INTERNAL MEDICINE
City + Specialty ANCHORAGE + INTERNAL MEDICINE

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Dataset Information

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.

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