Keith W Green is a Jasper, Indiana based nurse anesthetist with 28 years of experience as Anesthesia Administration. He completed he graduation in 1997. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Keith W Green is 28138655A for Anesthesia Administration in Indiana. his current practice location is 800 W 9th St, Jasper. Patients can reach him at 812-482-0643 or can fax him at 812-482-0214. Keith W Green is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1508920653. Keith W 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:
Keith W 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:
28+ years
Medical School Attended:
Other
Graduation Year:
1997
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
800 W 9th St, Jasper, Indiana, 47546-2514
Phone:
812-482-0643
Fax:
812-482-0214
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:
3375638596
Enrollment ID:
I20100901000360
NPI Number:
1508920653
NPI Enumeration Date:
21 Dec, 2006
NPI Last Update On:
03 Jun, 2024
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keith W Green are as mentioned below.
License Number
Specialization
State
Status
28138655A
Anesthesia Administration
Indiana
Primary
9261695
Anesthesia Administration
Florida
Secondary
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
Memorial Hospital And Health Care Center (150115)
Jasper, IN
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 Keith W Green has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Little Company Of Mary Hospital Of Indiana Inc (4587578042)
159
Other Medical Identifiers:
Other legacy medical identifiers associated with Keith W Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200157750A
Medicaid
Indiana
28138655
Other
Indiana
INDIANA LICENSE
940070020
Other
Indiana
MEDICARE PTAN
000000211953
Other
Indiana
ANTHEM BC ID
163460047
Other
Indiana
MEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2061 W Skyview Dr, Jasper, Indiana
Zip:
47546-8214
Phone Number:
812-634-9504
Fax Number:
812-634-9504
Patients can reach Keith W Green at 800 W 9th St, Jasper, Indiana or can call to book an appointment on 812-482-0643.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.