Kevin B Green (NPI# 1356307334, PAC ID# 4183640717) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1356307334 |
| PAC ID by PECOS | 4183640717 |
| Professional Enrollment ID | I20101019001399 |
| Full Name | Kevin B Green |
| Organization Legal Name | PATHOLOGY CONSULTANTS OF NEW LONDON PC |
| Address |
365 Montauk Ave New London CT 06320-4700 |
| Phone Number | 8604445100 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2000 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 0840369740 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070007 | LAWRENCE & MEMORIAL HOSPITAL |
| 410013 | WESTERLY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 365 Montauk Ave, New London, CT 06320-4700 | 8604445100 | PATHOLOGY CONSULTANTS OF NEW LONDON PC |
| 25 Wells St, Westerly, RI 02891-2922 | 4013483320 | PATHOLOGY CONSULTANTS OF NEW LONDON PC |
| Organization Legal Name | PATHOLOGY CONSULTANTS OF NEW LONDON PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Muscato | Pathology | Pathology Consultants of New London PC | 365 Montauk Ave, New London, CT 06320-4700 |
| Asim Ejaz | Pathology | Pathology Consultants of New London PC | 25 Wells St, Westerly, RI 02891-2922 |
| Anica Antic | Pathology | Pathology Consultants of New London PC | 365 Montauk Ave, New London, CT 06320-4700 |
| Maria Victoria G Reyes | Pathology | Pathology Consultants of New London PC | 365 Montauk Ave, New London, CT 06320-4700 |
| Jocelyn B Chandler | Pathology | Pathology Consultants of New London PC | 25 Wells St, Westerly, RI 02891-2922 |
| Elise Lindsay Krejci | Pathology | Pathology Consultants of New London PC | 365 Montauk Ave, New London, CT 06320-4700 |
| Joseph C Benedict | Pathology | Pathology Consultants of New London PC | 365 Montauk Ave, New London, CT 06320-4700 |
| Street Address |
365 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip | 06320-4700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis M Cordiano | Emergency Medicine | Lawrence and Memorial Hospital, Inc. | 365 Montauk Ave, New London, CT 06320-4700 |
| Ann M Bassett | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New London, PC | 365 Montauk Ave, New London, CT 06320-4700 |
| Warren Maurice Perry | Emergency Medicine | Lawrence and Memorial Hospital, Inc. | 365 Montauk Ave, New London, CT 06320-4700 |
| Frank R Dellacono | Otolaryngology | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 365 Montauk Ave, New London, CT 06320-4700 |
| Sarah M Vitello | Emergency Medicine | Lawrence and Memorial Hospital, Inc. | 365 Montauk Ave, New London, CT 06320-4700 |
| Frank J Toole | Physician Assistant | Northeast Medical Group Inc | 365 Montauk Ave, New London, CT 06320-4700 |
| Deepika Singh | Emergency Medicine | Lawrence and Memorial Hospital, Inc. | 365 Montauk Ave, New London, CT 06320-4700 |
| Thomas S Long | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New London, PC | 365 Montauk Ave, New London, CT 06320-4700 |
| Louis Mazzarelli | Diagnostic Radiology | Ocean Radiology Associates PC | 365 Montauk Ave, New London, CT 06320-4700 |
| Abbey Elizabeth Rumbold | Physician Assistant | Northeast Medical Group Inc | 365 Montauk Ave, New London, CT 06320-4700 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marileni Brisita | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Michelle A Gallerani | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Kathryn Rymsza | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Rachel Beckmann | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Jeffrey D Daley | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Kevin J O'reilly | Psychologist, Clinical | 400 Bayonet St, Suite 202, New London, CT 06320-2600 | |
| Kimberly A Kurey | Nurse Practitioner | 400 Bayonet St, New London, CT 06320-2600 | |
| Diane Joan Schrage | Clinical Social Worker | 400 Bayonet St, Suite 400, New London, CT 06320-2600 | |
| Patricia A Medling | Clinical Social Worker | 400 Bayonet St, Suite 202, New London, CT 06320-2600 | |
| George A Sprecace | Allergy/immunology | 400 Bayonet St, Ll2, New London, CT 06320-2600 | |
| Find all physicians in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| Specialty | PATHOLOGY |
| City + Specialty | NEW LONDON + PATHOLOGY |
Please comment or provide details below to improve the information on Kevin B 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.