Green Country Family Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0067546 Issued in OK

Legal business name

GREEN COUNTRY FAMILY CLINIC LLC

Practice address

1312 S Garnett Rd
Ste E
Tulsa, OK 74128-1835

Phone

(918) 437-2500

Fax

(918) 437-2535

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gus D Canaday Jr., ARNP

Title

President/Owner

Phone

(918) 437-2500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1972544807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 S GARNETT RD",
            "address_2": "STE. E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741281835",
            "telephone_number": "918-437-2500",
            "fax_number": "918-437-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 S GARNETT RD",
            "address_2": "STE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741281835",
            "telephone_number": "918-437-2500",
            "fax_number": "918-437-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNTRY FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "CANADAY",
        "authorized_official_first_name": "GUS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "918-437-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0067546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Greek, RPH
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• Green Country Breast Imaging PLLC
• Green Country Emergency Physicians Group of Tulsa PLLC
• Green Country Health Innovations, Inc
• Green Country Healthcare for Women
• Green Country Home Health Care Inc
• Green Country Medical Equipment Inc
• Green Country Mental Health & Therapeutic Services, PLC

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.