MEDICARE: MICHAEL D GREEN MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	226692	AK

General Provider Information

NPI Number	:	1053722918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL D GREEN MD, PHD

Provider Business Mailing Address
First Line	:	PO BOX 3991
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-3991
Country	:	US
Telephone Number	:	907-562-2002
Fax Number	:

Provider Business Practice Location Address
First Line	:	188 W NORTHERN LIGHTS BLVD STE 100
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-3902
Country	:	US
Telephone Number	:	907-562-2002
Fax Number	:	907-278-8052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2014
Last Update Date	:	05/21/2026

Similar Medicare Providers

1467405324 — LAWRENCE R STRAWBRIDGE M.D.
Practice Location Address:

188 W NORTHERN LIGHTS BLVD , SUITE 800
ANCHORAGE, AK
99503-3902

Practice Phone: 907-276-2803
Practice Fax: 907-278-8052

1073567079 — WILLIAM R CLARK II
Practice Location Address:

188 W NORTHERN LIGHTS BLVD , SUITE 800
ANCHORAGE, AK
99503-3902

Practice Phone: 907-276-2803
Practice Fax: 907-278-8052

1760401327 — LINDA D. HOLMES ANP
Practice Location Address:

188 W NORTHERN LIGHTS BLVD , SUITE 800
ANCHORAGE, AK
99503-3902

Practice Phone: 907-276-2803
Practice Fax: 907-278-8052

1598886210 — AMY-JANE MARIE LOSCHERT N.D.
Practice Location Address:

188 W NORTHERN LIGHTS BLVD # 100
ANCHORAGE, AK
99503-3902

Practice Phone: 907-562-2002
Practice Fax:

1407011208 — DR. LARRY CALVIN DAUGHERTY M.D.
Practice Location Address:

188 W NORTHERN LIGHTS BLVD STE 100
ANCHORAGE, AK
99503-3902

Practice Phone: 907-276-2803
Practice Fax:

1730492588 — DR. WILLIAM JARED MAGNUSON M.D.
Practice Location Address:

188 W NORTHERN LIGHTS BLVD STE 100
ANCHORAGE, AK
99503-3902

Practice Phone: 907-562-2002
Practice Fax: 907-278-8052

1316280209 — RBS EVOLUTION OF ALASKA LLC
Practice Location Address:

188 W NORTHERN LIGHTS BLVD # 100
ANCHORAGE, AK
99503-3902

Practice Phone: 907-562-2002
Practice Fax: 907-562-2002

Directions to “ MICHAEL D GREEN MD, PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.