Jeanne Green M.D., LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01061001A Issued in IN

Legal business name

JEANNE GREEN M.D., LLC

Practice address

109 Hunter Station Way
Sellersburg, IN 47172-8915

Phone

(812) 248-4655

Fax

(812) 248-4656

NPI assigned

Apr 3, 2008

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeanne Green, MD

Title

Owner

Phone

(812) 248-4655

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1013180736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HUNTER STATION WAY",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471728915",
            "telephone_number": "812-248-4655",
            "fax_number": "812-248-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HUNTER STATION WAY",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471728915",
            "telephone_number": "812-248-4655",
            "fax_number": "812-248-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE GREEN M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-248-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01061001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Sellersburg, IN
• Providers in Sellersburg, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.