Individual
JAMES R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7115 E SAINT CHARLES RD, COLUMBIA, MO 65202-0196
(573) 884-6851
(573) 884-0293
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35247
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102484
HEALTHLIK
MO
05
—
200235125
—
MO
01
—
2086688501
KANSAS MEDICAID
KS
01
—
5138
BLUE SHIELD/BLUE CHOICE
MO
01
—
704055
UNITED HEALTHCARE
MO
Enumeration date
05/04/2006
Last updated
05/21/2024
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