Robert Green (NPI# 1669424859, PAC ID# 8820008121) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1669424859 |
| PAC ID by PECOS | 8820008121 |
| Professional Enrollment ID | I20060509001009 |
| Full Name | Robert Green |
| Organization Legal Name | MATTHEW R. STANFIELD MD, PC |
| Address |
5500 N Portland Ave Oklahoma City OK 73112-2073 |
| Phone Number | 4059491800 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5294756797 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370225 | SUMMIT MEDICAL CENTER |
| 370032 | ALLIANCEHEALTH DEACONESS |
| Address | Phone | Organization |
|---|---|---|
| 5300 N Grand Blvd, Suite 215, Oklahoma City, OK 73115-5647 | 4058424022 | MATTHEW R. STANFIELD MD, PC |
| 5500 N Portland Ave, Oklahoma City, OK 73112-2073 | 4059491800 | MATTHEW R. STANFIELD MD, PC |
| Organization Legal Name | MATTHEW R. STANFIELD MD, PC |
| Physicians | 1 |
| Street Address |
5500 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73112-2073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Mills Seat | Podiatry | Oklahoma Foot and Ankle Treatment Center | 5500 N Portland Ave, Oklahoma City, OK 73112-2073 |
| Christopher Marshall Seat | Podiatry | Oklahoma Foot and Ankle Treatment Center | 5500 N Portland Ave, Oklahoma City, OK 73112-2073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Byron Gentry | Chiropractic | 4435 Nw36th St A, Oklahoma City, OK 73112 | |
| Xiomara J Porras | Nurse Practitioner | 6301 N Meridian Ave, Suite 103, Oklahoma City, OK 73112-1267 | |
| Dwight P Moyer | Chiropractic | 6301 N Meridian Ave, Suite 101, Oklahoma City, OK 73112-1267 | |
| David T Rothwell | Family Medicine | 6312 N Portland, Parcway Rehab Ctr, Oklahoma City, OK 73112-1463 | |
| Laurie Jill Hast | Diagnostic Radiology | 5800 N Portland Ave, Oklahoma City, OK 73112-1661 | |
| Roy W Bankhead | Urology | Medical Specialists Inc | 5700 N Portland Ave, Suite 100, Oklahoma City, OK 73112-1662 |
| Bassam Arodak | Endocrinology | Integris Ambulatory Care Corporation | 5701 N Portland Ave, Suite 220, Oklahoma City, OK 73112-1670 |
| Lauranne Harris | Obstetrics/gynecology | 3300 Nw Expressway, Oklahoma City, OK 73112-1670 | |
| Edward Duane Jones | Ophthalmology | 5701 N Portland Ave, Suite 105, Oklahoma City, OK 73112-1670 | |
| Amy Christina Costner | Nurse Practitioner | Integris Ambulatory Care Corporation | 5701 N Portland Ave, Suite 320, Oklahoma City, OK 73112-1670 |
| Find all physicians in zip 73112 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OKLAHOMA CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Robert 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.