JEFFERY MYLES GREEN (NPI# 1205188372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205188372 |
| Entity Type | Individual |
| Full Name | JEFFERY MYLES GREEN |
| Credential | CRNA |
| Practice Address |
6819 Plum Creek Dr Amarillo TX 79124-1602 |
| Mailing Address |
Po Box 2265 Amarillo TX 79105-2265 |
| Practice Telephone | 8063559595 |
| Practice Fax Number | 8063531589 |
| Mailing Telephone | 8063559595 |
| Mailing Fax Number | 8063531589 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 756989 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851535363 | Jeffery Tyler Green | Pathology | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2009-04-28 |
| 1215911904 | Jeffery Green | Family Medicine | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2005-12-06 |
| Street Address |
6819 PLUM CREEK DR |
| City | AMARILLO |
| State | TX |
| Zip Code | 79124-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255314860 | James Franklin Reid | Anesthesiology | 6819 Plum Creek Dr, Amarillo, TX 79124-1602 | 2005-11-29 |
| 1023516515 | Aaron Everett Landers | Nurse Anesthetist, Certified Registered | 6819 Plum Creek Dr, Amarillo, TX 79124-1602 | 2018-01-30 |
| 1114384070 | Melissa-ann Elizabeth Limmer-riola | Nurse Anesthetist, Certified Registered | 6819 Plum Creek Dr, Amarillo, TX 79124-1602 | 2016-01-24 |
| 1144630294 | Mark Turpin | Nurse Anesthetist, Certified Registered | 6819 Plum Creek Dr, Amarillo, TX 79124-1602 | 2014-04-29 |
| 1942587563 | Christy R Richardson | Nurse Anesthetist, Certified Registered | 6819 Plum Creek Dr, Amarillo, TX 79124-1602 | 2011-11-10 |
| 1609187566 | Reg Martin Md Pa | Anesthesiology | 6819 Plum Creek Dr, Amarillo, TX 79124-1602 | 2010-06-25 |
| 1003133976 | James Franklin Reid M. D. P. A. | Anesthesiology | 6819 Plum Creek Dr, Amarillo, TX 79124-1602 | 2010-04-30 |
| 1013154020 | Julie Davis | Nurse Anesthetist, Certified Registered | 6819 Plum Creek Dr, Amarillo, TX 79124-1602 | 2009-01-13 |
| 1780835025 | Medical and Health Alliance | Anesthesiology | 6819 Plum Creek Dr, Amarillo, TX 79124-1602 | 2008-10-06 |
| 1700068434 | John Paul Blakely Pa | Anesthesiology | 6819 Plum Creek Dr, Amarillo, TX 79124-1602 | 2007-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793357 | Bushland Drug, LLC | Pharmacy | 1600 S. Fm 2381, Amarillo, TX 79124 | 2019-01-10 |
| 1134691017 | Linda Darlene Podzemny | Counselor | 5250 Cliffside Road, Amarillo, TX 79124 | 2018-12-17 |
| 1356831721 | Amarillo Vii Enterprises, LLC | Skilled Nursing Facility | 1625 Point West Parkway, Amarillo, TX 79124 | 2018-05-11 |
| 1770092066 | Ama Ruby Slippers Care Inc | Home Health | 2300 N Western, Amarillo, TX 79124 | 2017-09-29 |
| 1164948451 | Saturnino Cogefar Salera | Nurse Practitioner | 203 Banks Dr, Amarillo, TX 79124 | 2017-08-17 |
| 1841714854 | Nathaniel Ryan Arismendez | Physical Therapist | 6900 John David Circle, Amarillo, TX 79124 | 2017-08-01 |
| 1811387368 | Aua Surgical Center, LLC | Clinic/Center | 8207 West Amarillo Blvd, Amarillo, TX 79124 | 2015-02-04 |
| 1053670349 | Melissa Suzanne Jones | Nurse Practitioner | 24 Care Cirlce, Amarillo, TX 79124 | 2012-05-08 |
| 1811172422 | Ammar Jarrous Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6810 Plum Creek, Amarillo, TX 79124 | 2008-01-02 |
| 1043405913 | Wesley Scott Nickens | Family Medicine | 603 Quail Creek Dr Spc 300, Amarillo, TX 79124 | 2007-09-12 |
| Find all providers in zip 79124 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264886 | Cislyn Blake Brantley | Nurse Anesthetist, Certified Registered | 2201 Civic Cir Ste 503, Amarillo, TX 79109-1843 | 2013-06-04 |
| 1841556115 | Tomas Estrada | Nurse Anesthetist, Certified Registered | 6907 Longleaf Ln, Amarillo, TX 79124-3920 | 2012-04-11 |
| 1831176049 | Edgar Lee Garner | Nurse Anesthetist, Certified Registered | 800 Quail Creek Dr Ste 103, Amarillo, TX 79124-1634 | 2005-12-29 |
| 1487638128 | David Glen Mitchell | Nurse Anesthetist, Certified Registered | 7310 Fleming Ave, Amarillo, TX 79106-1807 | 2005-12-06 |
| 1588660500 | Dorothy L Lee | Nurse Anesthetist, Certified Registered | 7100 Sw 9th Ave, Amarillo, TX 79106-1704 | 2005-06-23 |
| 1104431576 | Gregory Allan Fenchel Jr. | Nurse Anesthetist, Certified Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-09-12 |
| 1205458320 | William Richard Brown | Nurse Anesthetist, Certified Registered | 7100 W 9th Ave, Amarillo, TX 79106-1704 | 2020-05-12 |
| 1063049245 | Joshua Michael Pritchet | Nurse Anesthetist, Certified Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-03-26 |
| 1750916169 | Palo Duro Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1900 Medi Park Dr, Amarillo, TX 79106-2187 | 2020-03-05 |
| 1386276046 | Gennaro Buontempo | Nurse Anesthetist, Certified Registered | 7100 Sw 9th Ave, Amarillo, TX 79106-1704 | 2020-02-10 |
| Find all providers in AMARILLO | ||||
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| 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.