Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miyoko Stephanie Green, PA-C

Individual provider Physician Assistant · NPI 1063853893

Miyoko Stephanie Green, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2013, 13 years ago. Practices with Orthopedic Centers of Colorado LLC, a 328-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
13
Licensed in
CO
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2446 Research Pkwy Ste 200
Colorado Springs, CO 80920-1087
Phone: (719) 623-1050
Fax: (719) 623-1052
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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 PA0003732 (CO)

Record details

NPI number1063853893
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 9, 2013
Last updated in NPPESNovember 26, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Orthopedic Centers Of Colorado Llc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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