Lisa Diane Green (NPI# 1306355797, PAC ID# 8224391446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306355797 |
| PAC ID by PECOS | 8224391446 |
| Professional Enrollment ID | I20180420000916 |
| Full Name | Lisa Diane Green |
| Organization Legal Name | FAMILY HEALTH CENTER OF CLARK COUNTY INC |
| Address |
290 N Harrison Dr Family Health Centers of Southern Indiana Corydon IN 47112-1725 |
| Phone Number | 8127387576 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8426139254 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150044 | BAPTIST HEALTH FLOYD |
| 151331 | HARRISON COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 290 N Harrison Dr, Family Health Centers of Southern Indiana, Corydon, IN 47112-1725 | 8127387576 | FAMILY HEALTH CENTER OF CLARK COUNTY INC |
| 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 8122832308 | FAMILY HEALTH CENTER OF CLARK COUNTY INC |
| 1000 E Spring St, New Albany, IN 47150-2943 | 8129411701 | FAMILY HEALTH CENTER OF CLARK COUNTY INC |
| Organization Legal Name | FAMILY HEALTH CENTER OF CLARK COUNTY INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Kestler | Nurse Practitioner | Family Health Center of Clark County Inc | 1000 E Spring St, New Albany, IN 47150-2943 |
| Margo J Carrancejie | Family Medicine | Family Health Center of Clark County Inc | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 |
| Stacey Lynn Jacobs | Nurse Practitioner | Family Health Center of Clark County Inc | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 |
| Junice L Johnson | Nurse Practitioner | Family Health Center of Clark County Inc | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 |
| Kevin L Bear | Chiropractic | Family Health Center of Clark County Inc | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 |
| Tony K Kim | Chiropractic | Family Health Center of Clark County Inc | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 |
| Street Address |
290 N HARRISON DR FAMILY HEALTH CENTERS OF SOUTHERN INDIANA |
| City | CORYDON |
| State | IN |
| Zip | 47112-1725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindasue Farrell | Clinical Social Worker | Lifespring, Inc | 535 Country Club Serd, Corydon, IN 47112-1705 |
| Joseph E Higgins Jr. | Clinical Social Worker | Lifespring, Inc | 535 Country Club Serd, Corydon, IN 47112-1705 |
| Teodoro E.f. Bordador Jr. | Psychiatry | Lifespring, Inc | 535 Country Club Serd, Corydon, IN 47112-1705 |
| Constance L Frauli | Clinical Social Worker | Lifespring, Inc | 535 Country Club Serd, Corydon, IN 47112-1705 |
| Chandler H Park | Hematology/oncology | Norton Hospitals Inc | 245 Atwood St, Corydon, IN 47112-1738 |
| Patricia J Corzine | Nurse Practitioner | Norton Hospitals Inc | 245 Atwood St, Corydon, IN 47112-1738 |
| Kaci Hentrup | Nurse Practitioner | Norton Hospitals Inc | 245 Atwood St, Corydon, IN 47112-1738 |
| Katherine J Dust | Nurse Practitioner | Community Medical Associates Inc | 1716 Hwy 337 Nw, Corydon, IN 47112-2028 |
| Christopher M Stock | Chiropractic | 2127 Edsel Ln Nw, Corydon, IN 47112-2030 | |
| Elmer E Dunbar | Pain Management | Corydon Pain Management Clinic Inc | 2230 Edsel Ln Nw, Suite 1, Corydon, IN 47112-2136 |
| Find all physicians in zip 47112 | |||
| City | CORYDON |
| Zip Code | 47112 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CORYDON + NURSE PRACTITIONER |
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| 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.