Ruth Ann Green in Grand Forks - Physician Assistant
Ruth Ann Green - NPI 1073521738
Ruth Ann Green is a Physician Assistant in Grand Forks, North Dakota. Ruth Ann Green practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ruth Ann Green is 1073521738. The last update date is 2019-08-09.
Ruth Ann Green's current location address is 2401 Demers Ave, Grand Forks, North Dakota. You can contact this provider via phone number 7017801891. The mailing address for Ruth Ann Green is 2401 Demers Ave, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ruth Ann Green |
|---|---|
| Address | 2401 Demers Ave, Grand Forks, North Dakota |
| Phone Number | 7017801891 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1073521738 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2019-08-09 |
Provider Mailing Address Detail
| Address | 2401 Demers Ave |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 58201 |
| Phone Number | 7017801891 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 15-00577 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100402360B | KS | -- | |
| 426761 | KS | BC/BS |
Post Comment/ Review Below
What is the Ruth Ann Green's unique identification number?
The Ruth Ann Green has been assigned the NPI (National Provider Identifier) Number 1073521738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Ruth Ann Green located?
The Ruth Ann Green is located at 2401 Demers Ave, Grand Forks, ND 58201.
What is Ruth Ann Green's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ruth Ann Green's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Ruth Ann Green receive its 1073521738 assignment?
The Ruth Ann Green was assigned its 1073521738 on 2006-08-04, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Ruth Ann Green, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ruth Ann Green, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-08-09.