James Green, DO | |
1322 3rd St Se, Suite 240, Puyallup, WA 98372 | |
(253) 697-1420 | |
(253) 697-1439 |
Full Name | James Green |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1322 3rd St Se, Puyallup, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083000855 | NPI | - | NPPES |
3007238 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10748354-1204 (Utah) | Primary |
Entity Name | Project Reality |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134211626 PECOS PAC ID: 4082669825 Enrollment ID: O20050315000564 |
Entity Name | Physician Group Of Utah Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
Mailing Address | Practice Location Address |
---|---|
James Green, DO 2493 S Wildcat Way Unit B, Woods Cross, UT 84010-8292 Ph: (801) 693-3020 | James Green, DO 1322 3rd St Se, Suite 240, Puyallup, WA 98372 Ph: (253) 697-1420 |
Tonya Harris, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3705 S Meridian Ste B, Puyallup, WA 98373 Phone: 253-765-5050 | |
Jennea Lynn Skaar, ARNP Family Medicine Medicare: Medicare Enrolled Practice Location: 16515 Meridian E Ste 104a, Puyallup, WA 98375 Phone: 253-792-6650 | |
Mark S. Kim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1803 S Meridian, Puyallup, WA 98371 Phone: 253-268-3400 Fax: 253-268-3870 | |
Dr. Daria Sciarrone, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11019 Canyon Rd E, Puyallup, WA 98373 Phone: 253-537-0293 Fax: 425-537-7650 | |
Archie Adams, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1450 5th St Se, 1500, Puyallup, WA 98372 Phone: 253-697-4005 Fax: 253-697-3404 | |
Dr. Jennifer N Pense, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 31st Ave Sw, Ste C, Puyallup, WA 98373 Phone: 253-848-5951 Fax: 253-845-7073 | |
Dr. Julia Trautschold, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3908 10th St Se, Puyallup, WA 98374 Phone: 253-848-5951 Fax: 253-845-7073 |