Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. William Michael Green, DO

Individual provider Anesthesiology Physician · NPI 1992264097

Dr. William Michael Green, DO is an Anesthesiology in Provo, Utah. Graduated from Saint Louis University School of Medicine in 2023, 3 years ago. Practices with Mountain West Anesthesia LLC, a 265-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Utah.

Years since qualifying
3
Trained at
Saint Louis University School of Medicine
Licensed in
AZ, UT
In the registry since
2019
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6644 E Baywood Ave, Mesa, AZ 85206-1747 — (480) 405-1834
  • 1402 S Grand Blvd, Saint Louis, MO 63104-1004 — (314) 977-9856

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 13314945-1204 (UT)
Anesthesiology Physician Taxonomy 207L00000X · Licence 011521 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992264097
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address797 N Coachman Ln, Spanish Fork, UT 84660-6357

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Mountain West Anesthesia Llc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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