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Contact Information

JOHN C GREEN, DO
6481 CARLISLE PIKE
MECHANICSBURG, PA17050-2377
 Phone: 717-516-6396
 Fax: 717-620-8093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JOHN C GREEN · (Male)

NPI Number 1528015591
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/27/2006
Last updated 01/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 34 00 5210
  • PA License # OS 005621 L
  • OH Medicaid 0125294000
  • PA Medicaid 001007392
  • Other 1528015591 NPI
  • Other P00284946 RR MEDICARE
  • OH Other 310917085084 CARESOURCE MEDICAID
  • OH Other 2055449 MOLINA MEDICAID
  • OH Other 000000181658 UNISON MEDICAID
Hospital affiliation(s)
  • CARLISLE REGIONAL MEDICAL CENTER - (Acute Care)
    361 ALEXANDER SPRING ROAD
    CARLISLE, PA 17015
  • PINNACLE HEALTH HOSPITALS - (Acute Care)
    409 SOUTH SECOND STREET
    HARRISBURG, PA 17105
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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