Kerry S Green MD PLC
NPI 1356523492ActiveOrganization· Clinic/Center· Mesa, AZ
Clinic/Center in Mesa, Arizona, registered in NPPES in November 2007. The authorized official on file is Kerry Green, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356523492 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2007 |
| Last updated in NPPES | Mar 8, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 29662 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
Other Clinic/Center providers in Mesa
- 1003450461
- 1023763992
- 1053798793
- 1063484459
- 1073357471
- 1073403168
- 1093506784
- 1194318626
- 1194374876
- 1285875039
- 1316742992
- 1326221029
All 42 Clinic/Center providers in Mesa · All Clinic/Center providers in Arizona