Dr. Jennifer Nicole Green
D.O. | Pediatrics | Female
Dr. Jennifer Nicole Green, D.O. is a Mcminnville, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jennifer Nicole Green is
2435 Ne Cumulus Ave., Ste A, Mcminnville, Oregon - 97128-8862. She can be contacted on phone at
503-434-8286.
Dr. Jennifer Nicole Green is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jennifer Nicole Green is
1043519895 which was assigned by NPPES on 18 Mar, 2011 and it was last updated on 15 Jun, 2016.
Dr. Jennifer Nicole Green license number is
DO 167350 for Pediatrics (208000000X) in Oregon.
Dr. Jennifer Nicole Green is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jennifer Nicole Green basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jennifer Nicole Green |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Dr. Jennifer Nicole Green address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2435 Ne Cumulus Ave., Ste A
Mcminnville, OR, 97128-8862
United States |
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| Phone Number : | 503-434-8286 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1043519895 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Mar, 2011 |
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| Last Updated On : | 15 Jun, 2016 |
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Medicare Participation:
Dr. Jennifer Nicole Green participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4183848641 |
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| Medicare Enrollment ID : | I20140624001649 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | West Virginia School Of Osteopathic Medicine |
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| Graduation Year : | 2011 |
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| Accepts Medicare? | Yes. Dr. Jennifer Nicole Green accepts medicare insurance. |
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Group Practice Association:
Dr. Jennifer Nicole Green is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jennifer Nicole Green is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Physicians Medical Center P C | 6305832890 | 22 | 2435 Ne Cumulus Ave
Suite A
Mcminnville, OR - 971288805
Ph: 5034726161 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jennifer Nicole Green are as mentioned. Primary taxonomy code for Dr. Jennifer Nicole Green, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | DO 167350 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jennifer Nicole Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| DO167350 | Other | OR | MEDICAL LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2435 Ne Cumulus Ave., Ste A
Mcminnville, OR, 97128-8862
United States |
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| Phone Number : | 503-434-8286 |
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Business Location:
Patients can refer following map for directions to
Dr. Jennifer Nicole Green practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.