Dana L Greene (NPI# 1013982925, PAC ID# 9830188259) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013982925 |
| PAC ID by PECOS | 9830188259 |
| Professional Enrollment ID | I20040511000524 |
| Full Name | Dana L Greene |
| Organization Legal Name | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Address |
373 E 10th Ave Springfield CO 81073-1622 |
| Phone Number | 7195234501 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6204725138 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061301 | RIO GRANDE HOSPITAL |
| 061311 | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 310 County Rd, Suite 14, Del Norte, CO 81132-8758 | 7196572510 | VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC |
| 373 E 10th Ave, Springfield, CO 81073-1622 | 7195234501 | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Organization Legal Name | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea E. Wismann | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Janette S Javier | Emergency Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Antonio S Manalo | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Melvin Kile Viney Jr. | Nurse Practitioner | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Ryan Mccomb | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Staci F Bishop | Physician Assistant | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Street Address |
373 E 10TH AVE |
| City | SPRINGFIELD |
| State | CO |
| Zip | 81073-1622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea E. Wismann | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Janette S Javier | Emergency Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Antonio S Manalo | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Melvin Kile Viney Jr. | Nurse Practitioner | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Ryan Mccomb | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Staci F Bishop | Physician Assistant | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| City | SPRINGFIELD |
| Zip Code | 81073 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SPRINGFIELD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dana L Greene.
| 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.