Patrick Green MD Pllc
Patrick Green MD Pllc is a healthcare organization registered as Methadone Clinic in Tooele, UT, holding Type 2 (organization) NPI 1053187310 since 2023. The authorized official on file is Patrick Green, Medical Director/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053187310 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Patrick Green MD Pllc |
| Other name | <Unavail> |
| Practice address | 30 S TOOELE BLVD, Tooele, UT, 84074 |
| Phone | 4352417778 |
| Fax | 4352480334 |
| Enumeration date | 2023-11-28 |
| Last updated in NPPES | 2026-01-14 |
Authorized official
| Name | Patrick Green |
|---|---|
| Title | Medical Director/Owner |
| Phone | 8017927335 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Secondary | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | Secondary | — | — |
| 261QM2800X | Methadone Clinic | Primary | — | — |
Copy-ready billing details
Provider: Patrick Green MD Pllc NPI: 1053187310 Taxonomy: 261QM2800X (Methadone Clinic) Address: 30 S TOOELE BLVD, Tooele, UT, 84074
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184981938 | Jessica Weeks Juber | Individual | Physician Assistant | Tooele, UT |
| 1356817423 | Alexandria Burringo | Individual | Medical Physician Assistant | Tooele, UT |
| 1962175109 | Philip Krukow | Individual | Physician Assistant | Tooele, UT |
Verify this record
Cross-check NPI 1053187310 against the authoritative CMS record: view Patrick Green MD Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Patrick Green MD Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-14.