John Charles Green in Mechanicsburg - Sports Medicine
John Charles Green - NPI 1528015591
John Charles Green is a Sports Medicine in Mechanicsburg, Pennsylvania. John Charles Green practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for John Charles Green is 1528015591. The last update date is 2021-01-08.
John Charles Green's current location address is 6481 Carlisle Pike, Mechanicsburg, Pennsylvania. You can contact this provider via phone number 7175166396 and fax number 7176208093. The mailing address for John Charles Green is 6481 Carlisle Pike, Mechanicsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Charles Green |
|---|---|
| Address | 6481 Carlisle Pike, Mechanicsburg, Pennsylvania |
| Phone Number | 7175166396 |
| Fax Number | 7176208093 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1528015591 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2021-01-08 |
Provider Mailing Address Detail
| Address | 6481 Carlisle Pike |
|---|---|
| City | Mechanicsburg |
| State | Pennsylvania (PA) |
| Post Code | 170502377 |
| Phone Number | 7175166396 |
| Fax Number | 7176208093 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2083S0010X |
| Licence No | 34 00 5210 |
|
Definition: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007392 | PA | -- | |
| 1528015591 | NPI | ||
| 2055449 | OH | MOLINA MEDICAID | |
| 125294000 | OH | -- | |
| P00284946 | RR MEDICARE | ||
| 310917085084 | OH | CARESOURCE MEDICAID | |
| 181658 | OH | UNISON MEDICAID |
Post Comment/ Review Below
What is the John Charles Green's unique identification number?
The John Charles Green has been assigned the NPI (National Provider Identifier) Number 1528015591 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of John Charles Green?
The John Charles Green is physically situated at 6481 Carlisle Pike, in the city of Mechanicsburg, state of PA, with the postal code 170502377.
What is the John Charles Green's area of specialization and corresponding taxonomy classification?
The John Charles Green's specialty field is Sports Medicine, and it falls under the taxonomy code 2083S0010X, which categorizes healthcare providers based on their specialties.
On what date was the 1528015591 assigned to John Charles Green?
The John Charles Green was issued its 1528015591 on 2006-05-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding John Charles Green most recently updated?
The details pertaining to the John Charles Green, including its address, specialty, and other relevant information, were last refreshed on 2021-01-08.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK