Gene Mariano (NPI# 1699889741, PAC ID# 9739111899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1699889741 |
| PAC ID by PECOS | 9739111899 |
| Professional Enrollment ID | I20050909000171 |
| Full Name | Gene Mariano |
| Organization Legal Name | GREEN CLINIC LLC |
| Address |
4707 Quitman Hwy Jonesboro LA 71247-0001 |
| Phone Number | 3183951168 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1980 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4789668831 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4707 Quitman Hwy, Jonesboro, LA 71247-0001 | 3183951168 | GREEN CLINIC LLC |
| 1200 S Farmerville, Ruston, LA 71270-5941 | 3182516103 | GREEN CLINIC LLC |
| Organization Legal Name | GREEN CLINIC LLC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Lee Coleman | Physician Assistant | Green Clinic LLC | 1809 Northpointe Ln, 102 Green Clinic Quick Care of Ruston, Ruston, LA 71270-3852 |
| Ekara Wafer-mendenhall | Nurse Practitioner | Green Clinic LLC | 1402 Celebrity Dr, Ruston, LA 71270-3878 |
| Johnathan C Baines | Family Medicine | Green Clinic LLC | 3030 Hwy 80 W, Green Clinic Calhoun, Calhoun, LA 71225-7906 |
| Donna L Courson | Nurse Practitioner | Green Clinic LLC | 1200 S Farmerville St, Ruston, LA 71270-5941 |
| Jason Granger | Physical Therapy | Green Clinic LLC | 1200 S Farmerville, Ruston, LA 71270-5941 |
| Terry B Gardner | Family Medicine | Green Clinic LLC | 1285 Pine St, Suite 104, Arcadia, LA 71001-3120 |
| Paul M Novakovich | Orthopedic Surgery | Green Clinic LLC | 1200 S Farmerville St, Ruston, LA 71270-5941 |
| Richard Ballard | Orthopedic Surgery | Green Clinic LLC | 1200 S Farmerville St, Ruston, LA 71270-5941 |
| Nancy Bourn Adkins | Nurse Practitioner | Green Clinic LLC | 1200 S Farmerville St, Ruston, LA 71270-5941 |
| William Sanders | Family Medicine | Green Clinic LLC | 1200 S Farmerville St, Ruston, LA 71270-5941 |
| Street Address |
4707 QUITMAN HWY |
| City | JONESBORO |
| State | LA |
| Zip | 71247-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly G Brunson | Nurse Practitioner | Mercy Medical Health Center | 4633 Quitman Hwy, Hodge, LA 71247-4300 |
| Tamara Tidwell Cerniglia | Nurse Practitioner | Mercy Medical Health Center | 4633 Quitman Hwy, Hodge, LA 71247-4300 |
| Stacy Denise Ferrell | Nurse Practitioner | Mercy Medical Health Center | 4633 Quitman Hwy, Hodge, LA 71247-4300 |
| City | JONESBORO |
| Zip Code | 71247 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | JONESBORO + PHYSICAL THERAPY |
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| 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.