Jacob Green, DO

NPI 1033849336 · on the registry since 2022 · sole proprietor

Practice

Address: 1001 Waterdam Plaza Dr
Mc Murray, PA 15317
Phone: (724) 969-1001
Fax: (724) 260-5448
Organisation at this address: Washington Physician Services Organization
Washington Physicians Services Organization
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania