Gary L Green (NPI# 1770561615, PAC ID# 1658316153) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1770561615 |
PAC ID by PECOS | 1658316153 |
Professional Enrollment ID | I20050624000725 |
Full Name | Gary L Green |
Address |
400 Enterprise Dr Scarborough ME 04074-7662 |
Phone Number | 2072891025 |
Gender | M |
Credential | MD |
Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1979 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
200008 | MERCY HOSPITAL |
200009 | MAINE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
400 Enterprise Dr, Scarborough, ME 04074-7662 | 2072891025 |
Street Address |
400 ENTERPRISE DR |
City | SCARBOROUGH |
State | ME |
Zip | 04074-7662 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth J Maher | Physical Therapy | Maine Strong Physical Therapy Pa | 400 Enterprise Dr, Scarborough, ME 04074-7662 |
Nathan Krieger | Physical Therapy | Reconstructive Orthopaedic Associates II PC | 400 Enterprise Dr, Fl 2, Limerick, PA 19468-1218 |
Kenneth S Cayer | Chiropractic | 400 Enterprise Dr, Suite 2, Scarborough, ME 04074-7663 | |
Heidi Batchelder | Physical Therapy | Maine Strong Physical Therapy Pa | 400 Enterprise Dr, Scarborough, ME 04074-7662 |
Jason Adour | Physical Therapy | Maine Strong Physical Therapy Pa | 400 Enterprise Dr, Scarborough, ME 04074-7662 |
Sarah J Burnham | Physical Therapy | Maine Strong Physical Therapy Pa | 400 Enterprise Dr, Scarborough, ME 04074-7662 |
Terence K Gray | Interventional Pain Management | 400 Enterprise Dr, Suite 101, Scarborough, ME 04074-7662 | |
H Schaaf | Orthopedic Surgery | Reconstructive Orthopaedic Associates II PC | 400 Enterprise Dr, Fl 2, Limerick, PA 19468-1218 |
Daniel Edward Davis | Orthopedic Surgery | Reconstructive Orthopaedic Associates II PC | 400 Enterprise Dr, Fl 2, Limerick, PA 19468-1218 |
Beena J Hagg | Diagnostic Radiology | Womens Health Care Group of Pennsylvania LLC | 400 Enterprise Dr, Limerick, PA 19468-1216 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill M Amundson | Optometry | Mobile Eye Care of Maine, LLC | 290 Us Route 1, Maine Veterans Home, Scarborough, ME 04074 |
Joshua J Iannetta | Osteopathic Manipulative Medicine | Iannetta Osteopathic Manipulation, 632 Us Route 1, Scarborough, ME 04074 | |
June C Destefano Tait | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Robert D Sansonetti | Obstetrics/gynecology | 144 Us Route One, Scarborough, ME 04074 | |
Frank A Gentile | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Sarah L Elia | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Susan Ramsey | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Susan S Thompson-brown | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
P Gretchen French | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Sara H Merrill | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Find all physicians in zip 04074 |
City | SCARBOROUGH |
Zip Code | 04074 |
Specialty | INTERNAL MEDICINE |
City + Specialty | SCARBOROUGH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gary L Green.
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.