Dr. Tyson Ellis Green is a Lake Charles, Louisiana based male podiatrist with 18 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation from Temple University School Of Medicine in 2006. He is also affiliated with hospitals like Christus Ochsner St Patrick Hospital and Jennings American Legion Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Tyson Ellis Green for Podiatric Foot & Ankle Surgery is DPM200024 in Louisiana. Dr. Tyson Ellis Green provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Dr. Tyson Ellis Green speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
D.P.M.
Experience:
18+ years
Medical School Attended:
Temple University School Of Medicine
Graduation Year:
2006
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1747 Imperial Blvd, Lake Charles, Louisiana, 70605-5362
Phone:
337-721-7236
Fax:
337-721-7237
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9032260690
Enrollment ID:
I20090623000097
NPI Number:
1407001787
NPI Enumeration Date:
30 Nov, 2008
NPI Last Update On:
30 Jan, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tyson Ellis Green are as mentioned below.
License Number
Specialization
State
Status
DPM200024
Podiatric Foot & Ankle Surgery
Louisiana
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Christus Ochsner St Patrick Hospital (190027)
Lake charles, LA
Acute Care Hospital
Jennings American Legion Hospital (190053)
Jennings, LA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Tyson Ellis Green is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Center For Orthopaedics And Spine, Llc (1557797206)
30
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Tyson Ellis Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1805033
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
501 Dr Michael Debakey Dr, Lake Charles, Louisiana
Zip:
70601-5724
Phone Number:
337-312-8258
Fax Number:
337-312-6711
Patients can reach Dr. Tyson Ellis Green at 1747 Imperial Blvd, Lake Charles, Louisiana or can call to book an appointment on 337-721-7236. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.
Mr. Estuardo Alexander Silva, DPM Speciality: Podiatrist - Foot & Ankle Surgery Address: 524 Dr Michael Debakey Dr, LA Phone: 337-480-4948 Fax: 337-491-7195