Lisa W Green (NPI# 1003170754, PAC ID# 7517115553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1003170754 |
| PAC ID by PECOS | 7517115553 |
| Professional Enrollment ID | I20190507000626 |
| Full Name | Lisa W Green |
| Organization Legal Name | TRIANGLE ANESTHESIA GROUP, PSC |
| Address |
80 Hospital Dr Barbourville KY 40906-7363 |
| Phone Number | 6065464175 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9436161585 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180020 | MIDDLESBORO ARH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 80 Hospital Dr, Barbourville, KY 40906-7363 | 6065464175 | TRIANGLE ANESTHESIA GROUP, PSC |
| Organization Legal Name | TRIANGLE ANESTHESIA GROUP, PSC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leviticus Crowder | Certified Registered Nurse Anesthetist (crna) | Triangle Anesthesia Group, Psc | Route 122, Mcdowell, KY 41647-0001 |
| Teresa R Ayers | Certified Registered Nurse Anesthetist (crna) | Triangle Anesthesia Group, Psc | 3600 W Cumberland Ave, Middlesboro, KY 40965-2614 |
| Edwin T Brott | General Practice | Triangle Anesthesia Group, Psc | 260 Hospital Dr, South Williamson, KY 41503-4072 |
| Margaret Claire Whitehead | Certified Registered Nurse Anesthetist (crna) | Triangle Anesthesia Group, Psc | 100 Medical Ctr Dr, Hazard, KY 41701-9421 |
| William F Moran | Certified Registered Nurse Anesthetist (crna) | Triangle Anesthesia Group, Psc | 100 Medical Ctr Dr, Hazard, KY 41701-9421 |
| Beverly Jane Novak | Certified Registered Nurse Anesthetist (crna) | Triangle Anesthesia Group, Psc | 260 Hospital Dr, South Williamson, KY 41503-4072 |
| Brad Adams | Certified Registered Nurse Anesthetist (crna) | Triangle Anesthesia Group, Psc | 100 Medical Ctr Dr, Hazard, KY 41701-9421 |
| Misty Brashears | Certified Registered Nurse Anesthetist (crna) | Triangle Anesthesia Group, Psc | 100 Medical Ctr Dr, Hazard, KY 41701-9421 |
| Nepthalie F Catameo | Anesthesiology | Triangle Anesthesia Group, Psc | 100 Medical Ctr Dr, Hazard, KY 41701-9421 |
| Charles L Hoffecker | Certified Registered Nurse Anesthetist (crna) | Triangle Anesthesia Group, Psc | 100 Medical Ctr Dr, Hazard, KY 41701-9421 |
| Street Address |
80 HOSPITAL DR |
| City | BARBOURVILLE |
| State | KY |
| Zip | 40906-7363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Wilder | Nurse Practitioner | Arh Mary Breckinridge Health Services, Inc. | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| James R West Jr. | Family Medicine | Arh Mary Breckinridge Health Services, Inc. | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| Benjamin M Risner | Family Medicine | Southern Medical Partners, LLC | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| Ehtesham Ul Haq | Cardiovascular Disease (cardiology) | Arh Mary Breckinridge Health Services, Inc. | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| Thomas J Moore | Gastroenterology | Arh Mary Breckinridge Health Services, Inc. | 80 Hospital Dr, Suite 2, Barbourville, KY 40906-7363 |
| Korrapati S Reddy | Internal Medicine | Southern Medical Partners, LLC | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| Joshua Aaron Kadetz | Family Medicine | Southern Medical Partners, LLC | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| Velupillai Wignakumar | General Surgery | 80 Hospital Dr, Barbourville, KY 40906-7363 | |
| Randall W Walters | Emergency Medicine | Southern Medical Partners, LLC | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| Raju N Vora | Gastroenterology | Arh Mary Breckinridge Health Services, Inc. | 80 Hospital Dr, Suite 2, Barbourville, KY 40906-7363 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Vickers | Optometry | 215 N Allison, Barbourville, KY 40906 | |
| Sheryl Partin | Nurse Practitioner | 1927s Hwy 25e, Barbourville, KY 40906 | |
| Amanda Abbott | Nurse Practitioner | Cumberland River Behavioral Health Inc | 704 Pitzer St, Barbourville, KY 40906-1032 |
| Angela Jo Cain | Nurse Practitioner | Baptist Health Medical Group Inc | 602 Knox St, Barbourville, KY 40906-1304 |
| Matthew Maguet | Physical Therapy | Mountain Rehabilitation Services, LLC. | 606 Knox St, Barbourville, KY 40906-1304 |
| Paul C Pedersen | General Practice | Baptist Health Medical Group Inc | 602 Knox St, Barbourville, KY 40906-1304 |
| Mazhar Salim | Psychiatry | Baptist Health Medical Group Inc | 602 Knox St, Barbourville, KY 40906-1304 |
| Michelle L Broughton | Nurse Practitioner | Baptist Health Medical Group Inc | 602 Knox St, Barbourville, KY 40906-1304 |
| Cynthia R Goodin | Nurse Practitioner | Baptist Health Medical Group Inc | 602 Knox St, Barbourville, KY 40906-1304 |
| Ruhel Boparai | Psychiatry | Baptist Health Medical Group Inc | 602 Knox St, Barbourville, KY 40906-1304 |
| Find all physicians in zip 40906 | |||
| City | BARBOURVILLE |
| Zip Code | 40906 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BARBOURVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Lisa W 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.