GREENE MEMORIAL HOSPITAL SERVICES INC (NPI# 1457384380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457384380 |
| Entity Type | Organization |
| Organization Name | GREENE MEMORIAL HOSPITAL SERVICES INC |
| Other Organization Name | ADVANCED MEDICAL GROUP |
| Practice Address |
10050 Innovation Dr Suite 200 Miamisburg OH 45342-4931 |
| Practice Telephone | 9375583208 |
| Practice Fax Number | 9375583248 |
| Mailing Telephone | 9375583208 |
| Mailing Fax Number | 9375583248 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-06-30 |
| Authorized Official Name | TIMOTHY Y KO (CFO) |
| Authorized Official Telephone | 9375583208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2639630 | 05 | |
| RAILROAD MEDICARE | DE7779 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Medical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770751604 | Greene Memorial Hospital Services Inc | Durable Medical Equipment & Medical Supplies | 3359 Kemp Rd, Ste. 240, Beavercreek, OH 45431-2565 | 2008-02-13 |
| Street Address |
10050 INNOVATION DR SUITE 200 |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-4931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125572 | Alliance Physicians Inc | Clinical Neuropsychologist | 10050 Innovation Dr, Suite 200, Miamisburg, OH 45342-4931 | 2006-02-28 |
| 1669956637 | Franziska Pippig | Pharmacist | 10050 Innovation Dr, Miamisburg, OH 45342-4931 | 2018-09-17 |
| 1912174558 | Zachary David Keene | Emergency Medical Technician, Intermediate | 10050 Innovation Dr, Miamisburg, OH 45342-4931 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093071144 | Angela A Adams-harrison | Family Medicine | 415 Byers Road Suite 300, Miamisburg, OH 45342-3263 | 2012-04-03 |
| 1801182738 | Ronald Suprenant | Family Medicine | 4000 Miamisburg-centerville Road, Suite 450, Miamisburg, OH 45342 | 2011-06-20 |
| 1427192863 | Alan Fark | Family Medicine | 1061 Decker Dr, Miamisburg, OH 45342-6415 | 2007-02-19 |
| 1376552133 | Michael F Bosworth | Family Medicine | 7 Stinton Ln, Miamisburg, OH 45342-6618 | 2006-08-07 |
| 1588606669 | Jennifer R. Hampton-montavon | Family Medicine | 1012 East Central Avenue, Miamisburg, OH 45342 | 2006-06-12 |
| 1366409328 | Rhea R Rowser | Family Medicine | 445 Byers Rd, Miamisburg, OH 45342-5398 | 2006-04-26 |
| 1346245289 | Verne Harold Dodson | Family Medicine | 1012 E Central Ave, Miamisburg, OH 45342-2556 | 2005-06-16 |
| 1790122307 | Saiyid-naufal T Zaidi | Family Medicine | 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 | 2013-05-23 |
| 1841556727 | Alliance Physicians Inc | Family Medicine | 2110 Leiter Rd, Miamisburg, OH 45342-3660 | 2012-04-05 |
| 1104193945 | Brooke Lynette Manocchio | Family Medicine | 2115 Leiter Rd, Miamisburg, OH 45342-3659 | 2011-11-22 |
| Find all providers in MIAMISBURG | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
Please comment or provide details below to improve the information on GREENE MEMORIAL HOSPITAL SERVICES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.