LARA E GREEN (NPI# 1558339184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558339184 |
| Entity Type | Individual |
| Full Name | LARA E GREEN |
| Credential | PA-C |
| Practice Address |
3400 W Tecumseh Rd Suite 105 Norman OK 73072-1810 |
| Mailing Address |
Po Box 1330 Norman OK 73070-1330 |
| Practice Telephone | 4057352049 |
| Practice Fax Number | 4053075631 |
| Mailing Telephone | 4053076668 |
| Mailing Fax Number | 4057016170 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1235 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200063470A | 05 |
| Street Address |
3400 W TECUMSEH RD SUITE 105 |
| City | NORMAN |
| State | OK |
| Zip Code | 73072-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657532 | Allison L Huebert | Obstetrics & Gynecology | 3400 W Tecumseh Rd, Suite 205, Norman, OK 73072-1810 | 2005-05-23 |
| 1558826925 | Jordan Elizabeth Hobbs | Physician Assistant | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2019-02-09 |
| 1861915324 | Huong M Doan | Registered Nurse | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2017-07-17 |
| 1609221415 | Andrea Mae Freymiller | Specialist/Technologist | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2016-04-29 |
| 1649625617 | Stephanie Woodruff | Specialist/Technologist | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2016-04-27 |
| 1679960041 | Joseph Randall Waldron | Community Health Worker | 3400 W Tecumseh Rd, Ste 101, Norman, OK 73072-1810 | 2015-04-22 |
| 1659769784 | Nrhs Health and Wellness Services | Dietitian, Registered | 3400 W Tecumseh Rd, Suite 206, Norman, OK 73072-1810 | 2014-12-23 |
| 1699175943 | Robert M Polk | Specialist/Technologist | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2014-08-23 |
| 1386069268 | Underhill Psychological Consulting | Psychologist | 3400 W Tecumseh Rd, Suite 105, Norman, OK 73072-1810 | 2014-02-28 |
| 1275874026 | Jeremy G Tanner | Nurse Practitioner | 3400 W Tecumseh Rd, 100, Norman, OK 73072-1810 | 2013-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689097339 | Michael Joe Crawford | Physician Assistant | 4217 28th Ave Nw Ste 111, Norman, OK 73069-8358 | 2014-01-31 |
| 1861639395 | Amanda Nicole Lewis | Physician Assistant | 500 E Robinson St, Suite 2300, Norman, OK 73071-6697 | 2009-01-21 |
| 1518183417 | Rilla K Walker | Physician Assistant | 620 24th Ave Sw, Ou Norman Neurosurgery, Norman, OK 73069-3913 | 2007-04-18 |
| 1831127059 | Christopher T Travis | Physician Assistant | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779206 | John Nelson Lazenby IIi | Physician Assistant | 4 E Clark Bass Blvd Ste 302, Mcalester, OK 74501-4269 | 2020-01-20 |
| 1578025094 | Shawna Rose Liszewski | Physician Assistant | 6767 S Yale Ave Ste A, Tulsa, OK 74136-3302 | 2019-04-03 |
| 1417418666 | Andrea J Caygill | Physician Assistant | 216 N 20th St, Collinsville, OK 74021-1605 | 2019-03-29 |
| 1093290132 | Nisha Panta | Physician Assistant | 4120 W Memorial Rd # 300, Oklahoma City, OK 73120-9322 | 2018-09-25 |
| 1265920565 | Elite Surgical Assisting, LLC | Physician Assistant | 2924 S 98th East Ave, Tulsa, OK 74129-4407 | 2018-04-23 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1104216662 | Morgan Hanni | Physician Assistant | 3520 Nw 20th St, Oklahoma City, OK 73107-2818 | 2015-02-04 |
| 1790103455 | A Cut Above Surgical Assisting LLC | Physician Assistant | 6313 E Commercial St, Broken Arrow, OK 74014-6981 | 2014-03-31 |
| 1518204056 | Dustin William Tims | Physician Assistant | 11317 S Western Ave Ste 300, Oklahoma City, OK 73170-5848 | 2013-01-03 |
| 1265797781 | Rebecca Lynn Painter | Physician Assistant | 9915 E 82nd Pl, Tulsa, OK 74133-4557 | 2012-07-10 |
| Find all providers with the same taxonomy | ||||
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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.