Green Country Preventative Medicine, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREEN COUNTRY PREVENTATIVE MEDICINE, LLC

Practice address

3202 S Memorial Dr Ste 9
Tulsa, OK 74145-1323

Phone

(918) 704-0134

NPI assigned

Jan 11, 2022

Last updated

Jan 11, 2022By 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

Robert Valentine, MD

Title

Physician Owner

Phone

(918) 704-0134

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1710638820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 S MEMORIAL DR STE 9",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 S MEMORIAL DR STE 9",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451323",
            "telephone_number": "918-704-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNTRY PREVENTATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "918-704-0134",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.valentine1@directhealth.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3202 S Memorial Dr Ste 9",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741451323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Green Country Home Health Care Inc (TruHeart Home Health)
• Green Country Medical Equipment Inc
• Green Country Mental Health & Therapeutic Services, PLC (Green Country Therapeutics)
• Green Country Pain Management
• Green Country Podiatry Center, P.C.
• Green Country Rehabilitation, LLC
• Green Country Rehabilitation, LLC
• Green Country Sports Physical Medicine and Rehab PC
• Green Country Wound Care of Muskogee PC
• Joyce Green-Halford, OTRL CHT

• Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.