Active NPIIndividual provider

Mr. Dana L Green, PAC

Physician Assistant, Medical in Ellsworth, Maine

NPI Number1790867034
Practice location
50 Union St, Ellsworth Internal Medicine, Ellsworth, ME 04605-1534
Fax
207-664-7721
Last updated
October 18, 2018

Dana L Green is a Physician Assistant, Medical based in Ellsworth, ME. Dana L Green practices in Ellsworth, ME and has the professional credentials of PAC. The NPI Number for Dana L Green is 1790867034 and holds a License No. PA-511 (ME). The current practice location address for Dana L Green is 50 Union St, Ellsworth Internal Medicine, Ellsworth, ME 04605-1534 and can be reached out via phone at 207-664-7780 and via fax at 207-664-7721.

Provider Profile Details

NPI Number
1790867034
Provider Name
Dana L Green
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
50 Union St, Ellsworth Internal Medicine, Ellsworth, ME 04605-1534
Phone Number
207-664-7780
Fax Number
207-664-7721
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
October 19, 2006
Last Update Date
October 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Union St
Ellsworth Internal Medicine
Ellsworth, ME 04605-1534
State
Maine
Zip
04605-1534
Phone Number
207-664-7780
Fax Number
207-664-7721
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
50 Union St
Ellsworth Internal Medicine
Ellsworth, ME 04605-1534
City
Ellsworth
State
ME
Zip
04605-1534
Phone Number
207-664-7780
Fax Number
207-664-7721

License Information

License Number
PA-511
License State
ME
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Dana L Green, PAC?

The NPI number of Mr. Dana L Green, PAC is 1790867034. It was assigned on October 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Dana L Green, PAC?

Mr. Dana L Green, PAC is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in ME under license number PA-511.

Where does Mr. Dana L Green, PAC practice?

The practice location is 50 Union St, Ellsworth Internal Medicine, Ellsworth, ME 04605-1534. The office can be reached at 207-664-7780 (phone) or 207-664-7721 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790867034 directly on the NPPES registry website.

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