Dora Renee Green is a Lafayette, Indiana based nurse anesthetist with 25 years of experience as Anesthesia Administration. She completed she graduation in 2000. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dora Renee Green is 209.013944 for Anesthesia Administration in Illinois. Her current practice location is 2600 Greenbush St, Lafayette. Patients can reach her at 765-448-8000. Dora Renee Green is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1245217124. Dora Renee Green is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Dora Renee Green speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
25+ years
Medical School Attended:
Other
Graduation Year:
2000
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
2600 Greenbush St, Lafayette, Indiana, 47904-2477
Phone:
765-448-8000
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
2961677927
Enrollment ID:
I20220225000007
NPI Number:
1245217124
NPI Enumeration Date:
30 Dec, 2005
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dora Renee Green are as mentioned below.
License Number
Specialization
State
Status
209.013944
Anesthesia Administration
Illinois
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Bon Secours Memorial Regional Medical Center (490069)
Mechanicsville, VA
Acute Care Hospital
Henrico Doctors' Hospital (490118)
Richmond, VA
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dora Renee Green has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
American Anesthesiology Of Virginia Pc (6800790023)
777
Other Medical Identifiers:
Other legacy medical identifiers associated with Dora Renee Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2247661
Medicaid
Ohio
728022
Other
BUCKEYE
74006495
Medicaid
Kentucky
000001092366
Other
Indiana
ANTHEM PROVIDER NUMBER
000000196948
Other
ANTHEM BLUE SHIELD
300004136
Medicaid
Indiana
617576
Other
Kentucky
WELLCARE
200371350
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
19624 Governors Hwy, Suite 6 & 7 Flossmoor, Illinois
Zip:
60422-2077
Phone Number:
708-798-5838
Fax Number:
708-798-5865
Patients can reach Dora Renee Green at 2600 Greenbush St, Lafayette, Indiana or can call to book an appointment on 765-448-8000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.