Jacob J Green, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS025061 Issued in PA

Practice address

1001 Waterdam Plaza Dr
MC Murray, PA 15317-2466

Phone

(724) 969-1001

Fax

(724) 260-5448

NPI assigned

Jun 10, 2022

Last updated

Oct 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Lake Erie Col of Osteopathic Medicine, Bradenton, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allegheny Health Network Healthcare at Home Home Health Home health agency, Canonsburg, PA, CCN 398088
• Washington Hospital, the Hospital, Washington, PA, CCN 390042

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.green.1@14027.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington Physician Services

  dba Washington Health System Physicians Group

  • Family Medicine Physician
  • Washington, PA
  • NPI 1316917669
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Celtic Healthcare of Westmoreland LLC

  dba Allegheny Health Network Healthcare at Home Home Health

  • Home Health Agency
  • Canonsburg, PA
  • NPI 1396490017
  Care Compare affiliation
• Upmc Washington

  • Special Hospital
  • Washington, PA
  • NPI 1336459452
  Care Compare affiliation
• Upmc Washington

  • General Acute Care Hospital
  • Washington, PA
  • NPI 1609984889
  Care Compare affiliation

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1033849336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WATERDAM PLAZA DR",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172466",
            "telephone_number": "724-969-1001",
            "fax_number": "724-260-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WATERDAM PLAZA DR",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172466",
            "telephone_number": "724-969-1001",
            "fax_number": "724-260-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JACOB",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS025061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn-Marie Gotkiewicz
• David Grabowski, LCSW
• Courtney Gray, SLP-CCC
• Rinda Graybill, MS
• Sarah Grech, DMD
• Amanda Gregg
• Gregory G. Machiko, M.D., LLC
• Brandon T Greiner, PA
• Amelia Gremelspacher, PH.D.
• Gretz Chiropractic Centers

• Family Medicine Physician in McMurray, PA
• Providers in McMurray, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.