MEDICARE: JEFFREY A GREEN MD

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	207P00000X	Emergency Medicine Physician	30566	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080169564	OTHER	WI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	12810	OTHER	WI	DEAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	300566	OTHER	WI	TOUCHPOINT
6	1538150958	OTHER	WI	BCBSWI
7	GREENJEF	OTHER	WI	MERCYCARE INSURANCE

General Provider Information

NPI Number	:	1538150958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY A GREEN MD

Provider Business Mailing Address
First Line	:	6600 N ATWAHL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-3406
Country	:	US
Telephone Number	:	414-352-9256
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 W CHAMBERS ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1650
Country	:	US
Telephone Number	:	414-447-2171
Fax Number	:

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	07/27/2015

Similar Medicare Providers

1255328308 — DR. ROBERT MARC STERN M.D.
Practice Location Address:

5000 W CHAMBERS ST
MILWAUKEE, WI
53210-1650

Practice Phone: 262-242-4400
Practice Fax:

1639151335 — PIMS S.C.
Practice Location Address:

5000 W CHAMBERS ST , SUITE N240A
MILWAUKEE, WI
53210-1650

Practice Phone: 414-874-4763
Practice Fax: 414-874-4160

1891772711 — DR. DAVID A FERBER MD
Practice Location Address:

5000 W. CHAMBERS STREET
MILWAUKEE, WI
53210-1650

Practice Phone: 414-447-2271
Practice Fax: 414-447-2965

1548248347 — DR. MEHRAN EDALATPOUR M.D.
Practice Location Address:

5000 W CHAMBERS ST , SUITE N240A
MILWAUKEE, WI
53210-1650

Practice Phone: 414-874-4763
Practice Fax: 414-874-4160

1336127141 — DR. KANAN GUTGUTIA M.D.
Practice Location Address:

5000 W CHAMBERS ST , SUITE N240A
MILWAUKEE, WI
53210-1650

Practice Phone: 414-874-4763
Practice Fax: 414-874-4160

1235118704 — DR. S PARAMJITH SINGH CHAWLA M.D.
Practice Location Address:

5000 W CHAMBERS ST , SUITE 222
MILWAUKEE, WI
53210-1650

Practice Phone: 414-874-4316
Practice Fax: 414-874-4160

Directions to “ JEFFREY A GREEN MD” 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.