| Robert Joseph Green, CRNA | |
|
201 W Layton Pkwy, Layton, UT 84041-3692 | |
| (801) 727-2056 | |
| (770) 701-6675 |
| Full Name | Robert Joseph Green |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 201 W Layton Pkwy, Layton, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245616648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA1179 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 7038310-4406 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Layton Hospital | Layton, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Anesthesia Llc | 9032018502 | 256 |
| Entity Name | Mountain West Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Joseph Green, CRNA Po Box 3570, Salt Lake City, UT 84110-3570 Ph: (801) 727-2056 | Robert Joseph Green, CRNA 201 W Layton Pkwy, Layton, UT 84041-3692 Ph: (801) 727-2056 |
Spencer Belnap, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 W Layton Pkwy, Layton, UT 84041 Phone: 801-543-6000 | |
Mr. Eric James Linford, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 801-774-7020 Fax: 801-451-5136 | |
Brandon Allen Aven, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 836 S Angel St, Layton, UT 84041 Phone: 801-540-7800 |