Green Country Wound Care of Muskogee PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23318 Issued in OK

Legal business name

GREEN COUNTRY WOUND CARE OF MUSKOGEE PC

Practice address

8803 S 101St East Ave
Tulsa, OK 74133-5726

Phone

(918) 294-4325

Fax

(918) 294-4349

NPI assigned

Jul 23, 2006

Last updated

Nov 24, 2014By 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. Ronald D Brown, MDNPI 1801846779

Title

Owner

Phone

(918) 200-2369

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald David Brown, MD

  • Internal Medicine Physician
  • Cookson, OK
  • NPI 1801846779
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1356363238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20002 E WILDERNESS TRCE",
            "city": "COOKSON",
            "state": "OK",
            "postal_code": "744272090",
            "telephone_number": "918-200-2369",
            "fax_number": "918-457-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-294-4325",
            "fax_number": "918-294-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNTRY WOUND CARE OF MUSKOGEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-200-2369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "23318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Country Podiatry Center, P.C.
• Green Country Preventative Medicine, LLC
• Green Country Rehabilitation, LLC
• Green Country Rehabilitation, LLC
• Green Country Sports Physical Medicine and Rehab PC
• Joyce Green-Halford, OTRL CHT
• Amber Yvonne Green, BS
• Ashley Green
• Brandon Michael Green, D.O.
• Cassidy Nicole Green

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.