Home » Oklahoma » 74631 » Phil James Green

Phil James Green (PAC)

Phil James Green (PAC) is a health care provider specializes in Family Medicine. He is associated with medical group practice JEFFREY R SHUART MD PC and is affiliated with 2 hospitals as shown below.

profile-icon Basic Information

Practice Location 1009 W Ferguson Ave, Blackwell, OK 74631-5602, US
Practice Location Phone580-363-0052
Practice Location Fax580-363-0894
Specialty InFamily Medicine
Medical SchoolOther
Graduation Year1996
NPI ?1083610752
PECOS ID5092734772
Enrollment IDI20051114000016
Entity TypeIndividual
Enumeration Date ? Jun 27, 2005
Last Update Date ? Jul 8, 2007
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Phil James Green

SpecialtySpecializationLicenseLicense State
Family Medicine PA800Oklahoma

Medicare-icon Medicare Participation of Phil James Green

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Phil James Green

Medical Group PracticeJeffrey R Shuart Md Pc
Affiliation 1 Alliancehealth Blackwell
Affiliation 2 Integris Bass Baptist Health Center