Phil James Green, PAC
Phil James Green, PAC is a Physician Assistant in Blackwell, Oklahoma. Qualified in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 30
- Licensed in
- OK
- In the registry since
- 2005
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
1009 W Ferguson AveBlackwell, OK 74631-5602
Phone: (580) 363-0052
Fax: (580) 363-0894
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence PA800 (OK) |
|---|
Record details
| NPI number | 1083610752 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | June 27, 2005 |
| Last updated in NPPES | July 13, 2026 |
| Mailing address | 1009 W Ferguson Ave, Blackwell, OK 74631-5602 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Blackwell
-
Blackwell Hmpn, LLC
1005 W Doolin Ave, Blackwell, OK 74631-1350 · (580) 363-9466
-
Blackwell Hmpn, LLC
1005 W Doolin Ave, Blackwell, OK 74631-1350 · (580) 363-3288
-
Paul A. Briggs, MD
1009 W Ferguson Ave, Blackwell, OK 74631-5602 · (580) 363-0052
-
Samuel Lyle Hague, MD
1009 W Ferguson Ave, Blackwell, OK 74631-5602 · (580) 363-0052
-
Jeffrey R Shuart MD PC
115 W Bridge Ave, Blackwell, OK 74631-2800 · (580) 363-3501
-
Kay County Oklahoma Hospital Company LLC
1005 W Doolin Ave, Blackwell, OK 74631-1350 · (580) 363-3288
-
Samuel L Hague MD PC
1009 W Ferguson Ave, Blackwell, OK 74631-5602 · (580) 363-0052