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MRS. TERESA DESHAWN GREEN PHYSICIAN ASSISTANT NPI 1295700425


NPI Information

NPI: 1295700425
Provider Name: MRS. TERESA DESHAWN GREEN, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
8422 N 123RD EAST AVE
OWASSO, OK
ZIP 74055
Phone: (918) 293-2140
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MRS. Teresa Deshawn Green, PHYSICIAN ASSISTANT is a physician assistant in Owasso, OK with 21 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MRS. Teresa Deshawn Green, PHYSICIAN ASSISTANT NPI is 1295700425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8422 N 123RD EAST AVE
OWASSO, OK
ZIP 74055-130
Phone: (918) 293-2140
Fax: (918) 712-7164

The NPI 1295700425 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 5/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA031082DISTRICT OF COLUMBIANo
2363A00000XPhysician AssistantC0003136MARYLANDNo
3363AM0700XPhysician AssistantMedicalC5-0000491DELAWARENo
4363A00000XPhysician Assistant2962OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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