Carla Green (NPI# 1932618469, PAC ID# 8729349964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932618469 |
| PAC ID by PECOS | 8729349964 |
| Professional Enrollment ID | I20180302000685 |
| Full Name | Carla Green |
| Organization Legal Name | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| Address |
3029 W Main St Ctr for Ortho Recon Excellence Jenks OK 74037-3465 |
| Phone Number | 9187012300 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719115344 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370041 | BRISTOW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3029 W Main St, Ctr for Ortho Recon Excellence, Jenks, OK 74037-3465 | 9187012300 | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| Organization Legal Name | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary A Ward | Physician Assistant | Bristow Endeavor Healthcare, LLC | 900 W Truck Bypass, Drumright Healthcare Center, Drumright, OK 74030 |
| Frank Hubbard | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Daniel D Fields | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Lisa K Leifheit | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Donald L Cooper | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Ernest A Proo | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 3029 W Main St, Ctr for Ortho Recon Excellence, Jenks, OK 74037-3465 |
| Jeffery Stamps | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Steven J Finley | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Fred J Crapse Jr. | General Surgery | Bristow Endeavor Healthcare, LLC | 3029 W Main St, Ctr for Ortho Recon Excellence, Jenks, OK 74037-3465 |
| Sarah Pinson | Physician Assistant | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Street Address |
3029 W MAIN ST CTR FOR ORTHO RECON EXCELLENCE |
| City | JENKS |
| State | OK |
| Zip | 74037-3465 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Fernandez | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Hernan Aguilos | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| April L Phillips | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Lynne H Imhoff | Anesthesiology | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Luiz Weksler | Anesthesiology | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Ernest A Proo | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 3029 W Main St, Ctr for Ortho Recon Excellence, Jenks, OK 74037-3465 |
| Frederick Das | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Fred J Crapse Jr. | General Surgery | Bristow Endeavor Healthcare, LLC | 3029 W Main St, Ctr for Ortho Recon Excellence, Jenks, OK 74037-3465 |
| Blake E Carr | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Nikita Layson | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra B Schroeder | Nurse Practitioner | 1201 W Main St, Main Street Family Clinic, Jenks, OK 74037-2311 | |
| Sarah E Arnold | Chiropractic | 9428 S Elwood, Suite 102, Jenks, OK 74037-2317 | |
| Karen J Morgan Vanderlick | Anesthesiology | 1916 W C St, Jenks, OK 74037-2367 | |
| Andrew R Briggeman | Physical Medicine and Rehabilitation | 1115 W 108th Pl S, Jenks, OK 74037-2428 | |
| Sharon R. Smith | Clinical Social Worker | Community Pathways Unlimited Inc | 711 N 5th St, Jenks, OK 74037-3343 |
| Brandon J Hadel | Optometry | Oklahoma Medical Eye Group Pllc | 244 S Gateway Pl, Suite 401, Jenks, OK 74037-3448 |
| Amy E Slama | Optometry | Oklahoma Medical Eye Group Pllc | 244 S Gateway Pl, Suite 401, Jenks, OK 74037-3448 |
| Christopher K Yancey | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Taber Wright | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| James R Beymer | Family Medicine | Bristow Endeavor Healthcare, LLC | 3029 W Main St, Ctr for Ortho Recon Excellence, Jenks, OK 74037-3465 |
| Find all physicians in zip 74037 | |||
| City | JENKS |
| Zip Code | 74037 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JENKS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carla 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.