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Contact Information

TIMOTHY GREEN, MD
1020 LENAPE DR
NOWATA, OK74048
 Phone: 918-273-0192
 Fax: 918-273-0194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY GREEN · (Male)

NPI # 1457739039
Status Active
Credentials MD
Entity Individual
Enumeration date 05/14/2015
Last updated 09/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 31695
Hospital affiliation(s)
  • CLAREMORE INDIAN HOSPITAL - (Acute Care)
    101 SOUTH MOORE AVE
    CLAREMORE, OK 74017
  • JANE PHILLIPS MEDICAL CENTER - (Acute Care)
    3500 EAST FRANK PHILLIPS BOULEVARD
    BARTLESVILLE, OK 74006
  • W W HASTINGS INDIAN HOSPITAL - (Acute Care)
    100 S BLISS AVENUE
    TAHLEQUAH, OK 74464
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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