Larry S Green (NPI# 1982635843, PAC ID# 5799875498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1982635843 |
| PAC ID by PECOS | 5799875498 |
| Professional Enrollment ID | I20120518000464 |
| Full Name | Larry S Green |
| Organization Legal Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Address |
1200 College Dr Rock Springs WY 82901-5868 |
| Phone Number | 8015813495 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0941525273 |
| Number of Group Practice Members | 1166 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 531313 | STAR VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6140 W Curtisian Ave, Suite 200, Boise, ID 83704-0107 | 2083672328 | UNIVERSITY OF UTAH ADULT SERVICES |
| 6140 W Curtisian Ave, Boise, ID 83704-0107 | 2083672328 | UNIVERSITY OF UTAH ADULT SERVICES |
| 1200 College Dr, Rock Springs, WY 82901-5868 | 8015813495 | UNIVERSITY OF UTAH ADULT SERVICES |
| 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 8015818915 | UNIVERSITY OF UTAH ADULT SERVICES |
| Organization Legal Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Physicians | 1332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann E Lawrence | Anesthesiology | University of Utah Adult Services | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 |
| Genevieve Noelle Olivier | Physical Therapy | University of Utah Adult Services | 30 N, Suite 444, Salt Lake City, UT 84132-0002 |
| John Evan Thomas | Physician Assistant | University of Utah Adult Services | 165 N University Ave, Farmington Health Center Dermatol, Farmington, UT 84025-2990 |
| Douglas P Marx | Ophthalmology | University of Utah Adult Services | 65 S Mario Capecchi Dr, Salt Lake City, UT 84132-0005 |
| Brenton Waters | Physician Assistant | University of Utah Adult Services | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 |
| Mary D Foye | Qualified Speech Language Pathologist | University of Utah Adult Services | 417 S Wakara Way, Suite 1112, Salt Lake City, UT 84108-1448 |
| Ligia V Onofrei | Neurology | University of Utah Adult Services | 175 N Medical Dr, Salt Lake City, UT 84132-5901 |
| Naomi R Laird | Physician Assistant | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Douglas J Ballard | Physical Therapy | University of Utah Adult Services | 520 S Wakara Way, Suite 302, Salt Lake City, UT 84108-1213 |
| Jonathan R Roddy | Emergency Medicine | University of Utah Adult Services | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Street Address |
1200 COLLEGE DR |
| City | ROCK SPRINGS |
| State | WY |
| Zip | 82901-5868 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan R Roddy | Emergency Medicine | University of Utah Adult Services | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Brendan Milliner | Emergency Medicine | University of Utah Adult Services | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Ludwig F Kroner Iii | Orthopedic Surgery | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Charles W Knight | Internal Medicine | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Philip T Najm | Emergency Medicine | University of Utah Adult Services | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Benjamin A Jensen | Anesthesiology | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Cielette M Karn | Pathology | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Steven A Croft | Anesthesiology | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Christopher Thomas Hunnicutt | Diagnostic Radiology | Advanced Medical Imaging LLC | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Michael Yefimovich Neyman | Internal Medicine | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jocelyn Lee Palinek | Nurse Practitioner | County of Sweetwater | 3000 College Dr, Rock Springs, WY 82901-4202 |
| Tenny Hanson | Nurse Practitioner | County of Sweetwater | 3000 College Dr, Rock Springs, WY 82901-4202 |
| Israel Micah Stewart | Internal Medicine | County of Sweetwater | 3000 College Dr, Rock Springs, WY 82901-4202 |
| Parry M Davison | Certified Registered Nurse Anesthetist (crna) | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Mandy Jarvis | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Elohor Tessy Muagba | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Jed Shay | Pain Management | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Meghan A Mcmackin | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Louanna M Bradley | Nurse Practitioner | New Frontier Imaging LLC | 2620 Commercial Way, Suite 120, Rock Springs, WY 82901-4746 |
| Mandi E Lew | Nurse Practitioner | Bear Lake Community Health Center | 2620 Commercial Way, Suite 140, Rock Springs, WY 82901-4750 |
| Find all physicians in zip 82901 | |||
| City | ROCK SPRINGS |
| Zip Code | 82901 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROCK SPRINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Larry S 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.