MARK HINDLEY GREENE III (NPI# 1063443893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063443893 |
| Entity Type | Individual |
| Full Name | MARK HINDLEY GREENE III |
| Credential | MD |
| Practice Address |
1600 West Walnut Jacksonville IL 62650 |
| Mailing Address |
1600 W Walnut St Jacksonville IL 62650-1136 |
| Practice Telephone | 2178837302 |
| Practice Fax Number | 2174795892 |
| Mailing Telephone | 2178837302 |
| Mailing Fax Number | 2174795892 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036107120 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036107120 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497919005 | Mark A Greene | Massage Therapist | 6440 Sw 73rd St, Ocala, FL 34476-5568 | 2008-07-12 |
| 1467749291 | Mark Tyler Greene | Dentist | 30 West Medical Drive, Monument Valley, UT 84536 | 2011-06-30 |
| 1801045638 | Mark H Greene | Internal Medicine | 6120 Executive Blvd, Room Eps 7032, Rockville, MD 20852-4906 | 2008-09-17 |
| 1841416757 | Mark J Greene | Dentist | 10 W Hunt Ave, Flagstaff, AZ 86001-3018 | 2007-04-18 |
| 1598836959 | Mark I Greene | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2006-11-09 |
| 1508824616 | Mark W Greene | Plastic Surgery | 51681 Huntington Rd, La Pine, OR 97739-9626 | 2006-05-01 |
| Street Address |
1600 WEST WALNUT |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225069057 | Darr W Leutz | Orthopaedic Surgery | 1600 West Walnut, Jacksonville, IL 62650 | 2006-07-06 |
| 1750475877 | David Charles Tonry | Nurse Anesthetist, Certified Registered | 1600 West Walnut, Jacksonville, IL 62650 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483155 | Ortholonestar, Pllc | Orthopaedic Surgery | 203 Nacogdoches St Ste 350, Jacksonville, TX 75766-2454 | 2020-09-29 |
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1083093991 | John Wunn Cancian Sr. | Orthopaedic Surgery | Bumed, Centralized Credential and Privileging Directora, 554 Keily Street, Jacksonville, FL 32212 | 2015-05-26 |
| 1124463088 | Eric G Kim | Orthopaedic Surgery | 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 | 2013-05-06 |
| 1508124439 | Conor Brendan Garry | Orthopaedic Surgery | Bureau of Medicine and Surgery, Central Credentialing, 554 Keily St, Jacksonville, FL 32212 | 2012-04-28 |
| 1386924298 | George El-bahri | Orthopaedic Surgery | 6100 Kennerly Rd Ste 101, Jacksonville, FL 32216-4376 | 2011-08-23 |
| 1659667012 | Michael C Freidl | Orthopaedic Surgery | Uf Health - North, 15255 Max Leggett Parkway - Suite 6600, Jacksonville, FL 32218 | 2011-06-23 |
| 1780902643 | John Webster Williams Jr. | Orthopaedic Surgery | 4416 Gadsden Ct, Jacksonville, FL 32207-6216 | 2010-05-17 |
| 1265604599 | Asher O Smith | Orthopaedic Surgery | 2080 Child Street Naval Hospital Jacksonville, Jacksonville, FL 32214-2538 | 2008-03-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
Please comment or provide details below to improve the information on MARK HINDLEY GREENE III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.