Jeffrey W Green (NPI# 1922046200, PAC ID# 9830123140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1922046200 |
| PAC ID by PECOS | 9830123140 |
| Professional Enrollment ID | I20050926000260 |
| Full Name | Jeffrey W Green |
| Organization Legal Name | EAST MEMPHIS PET IMAGING LLC |
| Address |
6005 Park Ave Suite 101b Memphis TN 38119-5206 |
| Phone Number | 9016853114 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8820902190 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440183 | ST FRANCIS HOSPITAL |
| 440228 | SAINT FRANCIS BARTLETT MEDICAL CENTER |
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 2986 Kate Bond Rd, Bartlett, TN 38133-4003 | 9018207615 | MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC |
| 5190 Park Ave, Memphis, TN 38119-3500 | 9017670505 | MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC |
| 5959 Park Ave, Memphis, TN 38119-5200 | 9017652191 | MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC |
| 6005 Park Ave, Suite 101b, Memphis, TN 38119-5206 | 9016853114 | EAST MEMPHIS PET IMAGING LLC |
| 6005 Park Ave, Suite 100b, Memphis, TN 38119-5206 | 9017615320 | MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC |
| 7420 Guthrie N Dr, Suite 105, Southaven, MS 38671-5857 | 6623494321 | MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC |
| Organization Legal Name | EAST MEMPHIS PET IMAGING LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefan J Cowles | Diagnostic Radiology | East Memphis Pet Imaging LLC | 6005 Park Ave, Suite 101b, Memphis, TN 38119-5206 |
| James K Weeks Jr. | Diagnostic Radiology | East Memphis Pet Imaging LLC | 6005 Park Ave, Suite 101b, Memphis, TN 38119-5206 |
| Street Address |
6005 PARK AVE SUITE 101B |
| City | MEMPHIS |
| State | TN |
| Zip | 38119-5206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas E Jones | Addiction Medicine | 6005 Park Ave, Suite 307, Memphis, TN 38119-5213 | |
| Stefan J Cowles | Diagnostic Radiology | East Memphis Pet Imaging LLC | 6005 Park Ave, Suite 101b, Memphis, TN 38119-5206 |
| Thomas A Hughes | Endocrinology | 6005 Park Ave, Suite 305, Memphis, TN 38119-5213 | |
| Mary Hamm | Clinical Social Worker | Vogelfanger and Struble Clinic | 6005 Park Ave, 630b, Memphis, TN 38119-5226 |
| David B Goldstein | Psychologist, Clinical | 6005 Park Ave, 630b, Memphis, TN 38119-5226 | |
| Christine T Mroz | General Surgery | Mroz Baier Breast Care Clinic | 6005 Park Ave, Suite 700, Memphis, TN 38119-5217 |
| Alan M Nadel | Neurology | 6005 Park Ave, Suite 804, Memphis, TN 38119-5218 | |
| William Lee Moffatt Iii | Orthopedic Surgery | East Memphis Orthopedic Group | 6005 Park Ave, Suite 309, Memphis, TN 38119-5213 |
| William Bradford Priester | Ophthalmology | Mid South Retina Associates, LLC | 6005 Park Ave, Suite 624, Memphis, TN 38119-5202 |
| Robert W Greene Jr. | Physical Medicine and Rehabilitation | 6005 Park Ave, Suite 112, Memphis, TN 38119-5240 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Bradley | Physical Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Suzanne Ward | Nurse Practitioner | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Karen L Manley | Occupational Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Spencer W Hauser | Orthopedic Surgery | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Dawn Michelle Bierdz | Physical Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Ryan S Rahman | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Stephen Sittnick | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Morgan Lisner | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Jeffrey S Nelson | Hospice/palliative Care | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Mehmiya Z. Raghid | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Find all physicians in zip 38119 | |||
| City | MEMPHIS |
| Zip Code | 38119 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MEMPHIS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jeffrey 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.