Jordan Howard Green, MD | |
1100 Marshall Way, Placerville, CA 95667-6599 | |
(530) 622-1441 | |
Not Available |
Full Name | Jordan Howard Green |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
Location | 1100 Marshall Way, Placerville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063904829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | A195801 (California) | Secondary |
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | A195801 (California) | Primary |
Entity Name | Marshall Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962506097 PECOS PAC ID: 7517875859 Enrollment ID: O20031208001095 |
Mailing Address | Practice Location Address |
---|---|
Jordan Howard Green, MD 1100 Marshall Way, Placerville, CA 95667-6599 Ph: (530) 622-1441 | Jordan Howard Green, MD 1100 Marshall Way, Placerville, CA 95667-6599 Ph: (530) 622-1441 |
Troy S Dickson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4300 Golden Center Dr, Suite C, Placerville, CA 95667 Phone: 530-344-2070 Fax: 530-295-0400 | |
Antony R. Boody, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4300 Golden Center Dr, Suite C, Placerville, CA 95667 Phone: 530-344-2085 Fax: 530-295-0400 | |
Mr. Benjamin Ling, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3105 Cedar Ravine Road, #101, Placerville, CA 95667 Phone: 530-295-0600 Fax: 530-626-4337 | |
Christopher J Molitor, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4300 Golden Center Dr, Suite C, Placerville, CA 95667 Phone: 530-344-2070 Fax: 530-295-0400 | |
Stephen M Cyphers, M. D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4300 Golden Center Dr, Suite C, Placerville, CA 95667 Phone: 530-344-2070 Fax: 530-295-0400 | |
Warren Taylor Vance, M. D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4300 Golden Center Dr, Suite C, Placerville, CA 95667 Phone: 530-344-2070 Fax: 530-295-0400 |