DR. CHARLENE M GREENE (NPI# 1568444313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568444313 |
| Entity Type | Individual |
| Full Name | DR. CHARLENE M GREENE |
| Credential | D.O. |
| Practice Address |
1010 Olive Ave Florence WI 54121-0380 |
| Mailing Address |
Po Box 549 Iron Mountain MI 49801-0549 |
| Practice Telephone | 7155284775 |
| Practice Fax Number | 7155285592 |
| Mailing Telephone | 9067741313 |
| Mailing Fax Number | 9067765639 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 5101009102 | MI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 42172 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS MI | 0852200084 | 01 |
| MI | RR MEDICARE | P00933500 | 01 |
| WI | 30096600 | 05 | |
| MI | 4197165 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770890675 | Charlene Greene | Counselor | 641 Ridgewood St, Altamonte Springs, FL 32701-2678 | 2010-09-13 |
| Street Address |
1010 OLIVE AVE |
| City | FLORENCE |
| State | WI |
| Zip Code | 54121-0380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262856 | Lesley S Dishaw | Physician Assistant | 1010 Olive Ave, Florence, WI 54121-0380 | 2005-11-15 |
| 1265921027 | Bellin Health Iron Mountain Inc | Family Medicine | 1010 Olive Ave, Florence, WI 54121-0380 | 2018-05-08 |
| 1114106184 | Shelly Rae Buch | Nurse Practitioner | 1010 Olive Ave, Florence, WI 54121-0380 | 2007-10-26 |
| 1336183052 | Dickinson County Healthcare System | Nurse Practitioner | 1010 Olive Ave, Florence, WI 54121-0380 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083110076 | Brian Kass | Physical Therapist | 1010 Olive Avenue, Florence, WI 54121 | 2018-03-30 |
| 1609324045 | Megs Pharmacy Inc | Pharmacy | 1010 Olive Ave., Florence, WI 54121 | 2016-09-14 |
| 1518316959 | Cheryl Ann Welch | Counselor | 2462 Us Hwy 2, Florence, WI 54121 | 2016-06-07 |
| 1013363258 | Florence Rescue Squad Ltd | Ambulance | 747 Lake Ave, Florence, WI 54121 | 2016-05-06 |
| 1417179052 | Nhh Visiongroup, S.c. | Optometrist | 433 Florence Ave., Florence, WI 54121 | 2007-05-03 |
| 1013137074 | Neil Alan Anders | Dentist | 433 Florence Ave, Florence, WI 54121 | 2007-05-01 |
| 1306964440 | Newcap, Inc. | Clinic/Center | 132 Florence Ave, Florence, WI 54121 | 2007-03-27 |
| 1093760548 | County of Florence | Ambulance | 960 Olive Ave, Florence, WI 54121 | 2006-05-23 |
| 1417099730 | Tri-county Communication Services Inc | Speech-Language Pathologist | 609 Central Avenue, Florence, WI 54121-0033 | 2007-02-13 |
| 1538331830 | Laurie Lafleur | Speech-Language Pathologist | 609 Central Avenue, Florence, WI 54121-0033 | 2008-03-26 |
| Find all providers in zip 54121 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046991 | Open Hands Nursing Telehealth Care LLC | Family Medicine | 1951 Pisgah Rd Rm 104, Florence, SC 29501-6705 | 2020-06-08 |
| 1326672361 | Mcleod Physician Associates II | Family Medicine | 800 E Cheves St Ste 240, Florence, SC 29506-2652 | 2020-02-28 |
| 1356988984 | Family Medicine and Mohr | Family Medicine | 1505a Heritage Ln, Florence, SC 29505-3141 | 2019-12-02 |
| 1841756731 | Sonya Whatley | Family Medicine | 3091 Highway 49 S Ste F, Florence, MS 39073-9446 | 2019-02-15 |
| 1922589704 | Mekesha Shaw | Family Medicine | 1196 Waxwing Dr Unit A, Florence, SC 29505-3846 | 2018-08-28 |
| 1043797723 | Richard Sloan Moon | Family Medicine | 202 W Caskey, Florence, TX 76527 | 2018-07-25 |
| 1568902864 | Summit Medical Group Inc | Family Medicine | 8200 Dixie Hwy, Florence, KY 41042-3225 | 2017-03-06 |
| 1801292396 | Stacey Spence | Family Medicine | 3327 Stockton Dr, Florence, SC 29501-7361 | 2014-11-10 |
| 1063828135 | Kevon Mccarty | Family Medicine | 3235 N Hunt Hwy Ste 103, Florence, AZ 85132-6898 | 2014-07-09 |
| 1023447943 | Advantage Family Care Inc | Family Medicine | 202 Cox Creek Pkwy, Florence, AL 35630-1536 | 2013-11-02 |
| Find all providers in FLORENCE | ||||
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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.