Kathy J Green (NPI# 1053464065, PAC ID# 1850516527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1053464065 |
| PAC ID by PECOS | 1850516527 |
| Professional Enrollment ID | I20160328000782 |
| Full Name | Kathy J Green |
| Organization Legal Name | SACRED HEART HOSPITAL OF PENSACOLA |
| Address |
4586 Hwy 20 Suite B Niceville FL 32578-9724 |
| Phone Number | 8508973200 |
| Gender | F |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | PREVENTATIVE MEDICINE |
| Group Practice PAC ID | 3779491386 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100292 | SACRED HEART HOSPITAL ON THE EMERALD COAST |
| Address | Phone | Organization |
|---|---|---|
| 4586 Hwy 20, Suite B, Niceville, FL 32578-9724 | 8508973200 | SACRED HEART HOSPITAL OF PENSACOLA |
| Organization Legal Name | SACRED HEART HOSPITAL OF PENSACOLA |
| Physicians | 312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Lauren White | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 9375 Emerald Coast Pkwy, Miramar Beach, FL 32550-7274 |
| Lauren Burnham | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 2156 W Nine Mile Rd, Pensacola, FL 32534-9464 |
| Heather Dickin | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 13137 Sorrento Rd, Pensacola, FL 32507-8777 |
| Christina Senesac | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4313 Old Spanish Trail Rd, Pensacola, FL 32504-4942 |
| Ali Kurady | Nephrology | Sacred Heart Hospital of Pensacola | 1675 Trinity Dr, Pensacola, FL 32504-5708 |
| George G Ross | Internal Medicine | Sacred Heart Hospital of Pensacola | 281 State Hwy 20 E, Sacred Heart Hospital, Freeport, FL 32439-3929 |
| Martina Drawdy | Endocrinology | Sacred Heart Hospital of Pensacola | 5375 N 9th Ave, Sacred Heart of Pensacola, Pensacola, FL 32504-8725 |
| Kyle Krantz | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 5153 N 9th Ave, Suite 302, Pensacola, FL 32504-5719 |
| Rachel A Marshall | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4586 E Hwy 20, Suite A, Niceville, FL 32578-9802 |
| Stephanie Hattaway | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4929 Mobile Hwy, Pensacola, FL 32506-3229 |
| Street Address |
4586 HWY 20 SUITE B |
| City | NICEVILLE |
| State | FL |
| Zip | 32578-9724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Panwar Barnes | Internal Medicine | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Kapil Puri | Urology | 490 Hwy 85 N A, Niceville, FL 32578-1045 | |
| Joe E Rogers Jr. | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Michelle A Magboo | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Zachary W Wilson | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Jeffrey S Burbidge | Anesthesiology | Twin Cities Anesthesia Associates Pl | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Leslie J Bridges | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Ekta I Kade | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Katrina L. Tringas | Anesthesiology | Twin Cities Anesthesia Associates Pl | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| William S Carlson | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Find all physicians in zip 32578 | |||
| City | NICEVILLE |
| Zip Code | 32578 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | NICEVILLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kathy J 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.