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

John P Green, PA

Individual provider Physician Assistant · NPI 1346421609

John P Green, PA is a Physician Assistant in Kalamazoo, Michigan. Qualified in 2007, 19 years ago. Practices with Pic Indiana PC, a 148-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 N Park St
Kalamazoo, MI 49007-3731
Phone: (269) 373-7468
Fax: (269) 373-0123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005131 (MI)

Record details

NPI number1346421609
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 15, 2007
Last updated in NPPESSeptember 29, 2009
Mailing address601 John St, Box 42, Kalamazoo, MI 49007-5341

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Pic Indiana Pc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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