| Patrick Green Md Pllc | |
|
134 W 1180 N Suite # 5 Tooele UT 84074 | |
| (435) 248-0333 | |
| (435) 248-0334 |
| Full Name | Patrick Green Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 134 W 1180 N Suite # 5, Tooele, Utah |
| Authorized Official Name and Position | Patrick N Green (OWNER) |
| Authorized Official Contact | 8018285857 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Green Md Pllc 134 W 1180 N Suite # 5 Tooele UT 84074 Ph: (435) 248-0333 | Patrick Green Md Pllc 134 W 1180 N Suite # 5 Tooele UT 84074 Ph: (435) 248-0333 |
| NPI Number | 1518256650 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 11/18/2011 |
| Medicare PECOS PAC ID | 6204000102 |
|---|---|
| Medicare Enrollment ID | O20111110000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518256650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Hilary S Seibert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275623894 PECOS PAC ID: 0547164055 Enrollment ID: I20050111000917 |
| Provider Name | Patrick N Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144431800 PECOS PAC ID: 1951452531 Enrollment ID: I20090622000118 |
| Provider Name | Michael Reed Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356622732 PECOS PAC ID: 6103144860 Enrollment ID: I20150409002385 |
| Provider Name | Shaun T Gundersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659721934 PECOS PAC ID: 3173807385 Enrollment ID: I20170308001104 |
| Provider Name | Michal Allen Neff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336536564 PECOS PAC ID: 5698028348 Enrollment ID: I20181025001494 |
| Provider Name | Rynthia G Crosbie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235649674 PECOS PAC ID: 2668733064 Enrollment ID: I20181031000064 |
| Provider Name | Ryan Lynn Farr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821365602 PECOS PAC ID: 2163867706 Enrollment ID: I20240305002046 |
Valley Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2376 N 400 E Ste 102, Tooele, UT 84074 Phone: 435-843-1225 Fax: 435-843-1228 | |
Oasis Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1929 Aaron Dr, Suite I, Tooele, UT 84074 Phone: 435-833-0229 Fax: 435-833-0231 | |
Spine And Posture Rehabilitation Of Tooele Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Main St, Suite 2, Tooele, UT 84074 Phone: 435-882-1621 Fax: 435-882-8267 | |
Tooele Clinic Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1887 Aaron Dr Ste B, Tooele, UT 84074 Phone: 435-775-9973 Fax: 435-775-9985 | |
Granger Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E Ste 201, Tooele, UT 84074 Phone: 801-352-5900 Fax: 801-352-5914 | |
Ram C Sharma, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 S 100 E, Tooele, UT 84074 Phone: 435-882-0424 Fax: 435-843-1511 | |
Blake R. Beazer, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2356 N 400 E, Ste. 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039 |