Daniel R Green (NPI# 1407309982, PAC ID# 7214222827) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1407309982 |
| PAC ID by PECOS | 7214222827 |
| Professional Enrollment ID | I20160822001688 |
| Full Name | Daniel R Green |
| Organization Legal Name | MEDICAL PAIN MANAGEMENT SERVICES, LTD. |
| Address |
1045 W Stephenson St Freeport IL 61032-4864 |
| Phone Number | 8155996000 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284693755 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140160 | FHN MEMORIAL HOSPITAL |
| 140228 | SWEDISH AMERICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1045 W Stephenson St, Freeport, IL 61032-4864 | 8155996000 | MEDICAL PAIN MANAGEMENT SERVICES, LTD. |
| 1235 N Mulford Rd, Suite 222, Rockford, IL 61107-3879 | 8153978400 | MEDICAL PAIN MANAGEMENT SERVICES, LTD. |
| 1401 E State St, Rockford, IL 61104-2315 | 8159684400 | MEDICAL PAIN MANAGEMENT SERVICES, LTD. |
| Organization Legal Name | MEDICAL PAIN MANAGEMENT SERVICES, LTD. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Minore | Interventional Pain Management | Medical Pain Management Services, Ltd. | 1235 N Mulford Rd, Suite 222, Rockford, IL 61107-3879 |
| Howard W Weiss | Interventional Pain Management | Medical Pain Management Services, Ltd. | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Virginia L Velazquez | Nurse Practitioner | Medical Pain Management Services, Ltd. | 403 E 1st St, Dixon, IL 61021-3116 |
| Azhar M Kothawala | Interventional Pain Management | Medical Pain Management Services, Ltd. | 1235 N Mulford Rd, Suite 222, Rockford, IL 61107-3879 |
| Street Address |
1045 W STEPHENSON ST |
| City | FREEPORT |
| State | IL |
| Zip | 61032-4864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Geller | Infectious Disease | Freeport Regional Health Care Foundation | 1045 W Stephenson St, Fhn Family Healthcare Center, Freeport, IL 61032-4864 |
| Shokry S Tawfik | Family Medicine | Freeport Regional Health Care Foundation | 1045 W Stephenson St, Fhn Family Healthcare Center, Freeport, IL 61032-4864 |
| Irene Graziani | Hospitalist | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Min Yu | Pathology | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Kelly N Carroll | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Arshad R Shaikh | Hematology/oncology | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Maajid M Ekkiswala | Hospitalist | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Daniel B Claunch | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Joseph Rudolph Pale | Emergency Medicine | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Lucio J Martinez | Hospitalist | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon K Lizer | Nurse Practitioner | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Elizabeth Myers | Nurse Practitioner | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Michael Robert Perry | Internal Medicine | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Danielle E Siedschlag | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Farouk F Isawi | Gynecological Oncology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Sara E Smith | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Linda H Holt | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Seema Kumar | Neurology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Ruhee K Sidhu | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Keith R Martin | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Find all physicians in zip 61032 | |||
| City | FREEPORT |
| Zip Code | 61032 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FREEPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Daniel R 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.