James W Green, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Morris, MN
NPI 1821050360 · NPPES record last updated May 4, 2009
Key facts
- NPI
- 1821050360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 21752 (MN)
- Practice address
- 400 E 1St St
Morris, MN 56267-1408 - Phone
- (320) 589-1313
- Fax
- (320) 589-3533
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 21752 | MN | Yes |
Addresses
Primary practice location
400 E 1St St
Morris, MN 56267-1408
Mailing address
400 E 1St St
PO Box 660
Morris, MN 56267-1408
Phone (320) 589-1313
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276777500 | Medicaid | MN |
Other providers in Morris, MN
- Kristi Kay Furrer
- Andrea Giambi
- Amee Gibson
- Jenny Gibson
- Edward Green
- Jennifer Ann Gullickson
- Randy Lynn Hamling
- Paige W Hardy
- Jeffrey Andrew Hauger
- Franchetta Haupert
All providers in Morris, MN · Orthopaedic Surgery Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.