Darin L Green
PROVIDENCE MEDICAL GROUP


Address: 450 B Washington Jackson Rd, Suite 111, Eaton, OH 45320-7600
Phone: 9372222096

Darin L Green (NPI# 1811043664, PAC ID# 6103098488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).

Physician Overview

Nation Provider ID (NPI) 1811043664
PAC ID by PECOS 6103098488
Professional Enrollment ID I20120217000034
Full Name Darin L Green
Organization Legal Name PROVIDENCE MEDICAL GROUP
Address 450 B Washington Jackson Rd
Suite 111
Eaton
OH 45320-7600
Phone Number 9372222096
Gender M
Medical School OHIO UNIVERSITY OF OSTEO MEDICINE
Graduation Year 1991
Primary Specialty COLORECTAL SURGERY (PROCTOLOGY)
Group Practice PAC ID 2860386349
Number of Group Practice Members 37
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360133 GRANDVIEW AND SOUTHVIEW HOSPITALS
360355 OHIO VALLEY MEDICAL CENTER, LLC

Other Locations

Address Phone Organization
1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3858 9374347353 PROVIDENCE MEDICAL GROUP
450 B Washington Jackson Rd, Suite 111, Eaton, OH 45320-7600 9372222096 PROVIDENCE MEDICAL GROUP
8701 Old Troy Pike, Suite A, Huber Heights, OH 45424-1066 9373968137 PROVIDENCE MEDICAL GROUP
8701 Troy Pike, Suite 40a, Huber Heights, OH 45424-1066 9372222096 PROVIDENCE MEDICAL GROUP
2912 Springboro W, Moraine, OH 45439-1674 PROVIDENCE MEDICAL GROUP

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 15%

Organization Information

Organization Legal Name PROVIDENCE MEDICAL GROUP
Physicians 50

Physicians with the same organization

Name Specialty Organization Address
Theresa Kay Edwards Nurse Practitioner Providence Medical Group 8701 Troy Pike, Suite 20, Huber Heights, OH 45424-1073
Timothy D Webb Family Medicine Providence Medical Group 4403 W Franklin St D, Bellbrook, OH 45305-2700
Krista A Miller Nurse Practitioner Providence Medical Group 49 E Ctr St, Farmersville, OH 45325-1110
Caitlyn Frantz Nurse Practitioner Providence Medical Group 6255 Chambersburg Rd, Huber Heights, OH 45424-3873
Meta Lisa Howard Nurse Practitioner Providence Medical Group 400 Corporate Ctr Dr, Vandalia, OH 45377-1164
Kristen M Schwieterman Nurse Practitioner Providence Medical Group 4353e State Route 73, Waynesville, OH 45068-8812
Kevin A Carter Family Medicine Providence Medical Group 38 Woodcroft Trl, Beavercreek, OH 45430-1980
Shane T Sampson Family Medicine Providence Medical Group 2912 Springboro W, Moraine, OH 45439-1674
Mary F Sroga Nurse Practitioner Providence Medical Group 1870 Dayton Germantown Pike, Germantown, OH 45327-1100
James R Fisco Family Medicine Providence Medical Group 70 Remick Blvd, Springboro, OH 45066-9168

Office Location

Street Address 450 B WASHINGTON JACKSON RD
SUITE 111
City EATON
State OH
Zip 45320-7600

Physicians in the same location

Name Specialty Organization Address
Amy L Walworth Nurse Practitioner Alliance Physicians Inc 450 B Washington Jackson Rd, Suite 101, Eaton, OH 45320-7600
James Gilbert Cross Physician Assistant Kettering Network Radiologists Inc 450 B Washington Jackson Rd, Eaton, OH 45320-8699
Amy Werts Nurse Practitioner Alliance Physicians Inc 450 B Washington Jackson Rd, Eaton, OH 45320-7600
John P German Diagnostic Radiology Kettering Network Radiologists Inc 450 B Washington Jackson Rd, Eaton, OH 45320-8699
Mark D Oxman Nephrology Nephrology Associates of Dayton Inc 450 B Washington Jackson Rd, Eaton, OH 45320-8699
Sarah A Ballard Physician Assistant Kettering Network Radiologists Inc 450 B Washington Jackson Rd, Eaton, OH 45320-8699
Harold Allen Ferguson Jr. Family Medicine 450 B Washington Jackson Rd, Suite 102, Eaton, OH 45320-8699
John A Balazs Otolaryngology Drs Alway Balazs and Associates Inc 450 B Washington Jackson Rd, Suite 2003, Eaton, OH 45320-7600
Tracie Shoe Nurse Practitioner Alliance Physicians Inc 450 B Washington Jackson Rd, Suite 101, Eaton, OH 45320-7600
Emily Clark Physician Assistant Kettering Network Radiologists Inc 450 B Washington Jackson Rd, Eaton, OH 45320-8699
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Troy Alan Tyner Internal Medicine Internal Medicine Care, Inc 450 -b Washington-jackson Rd, Suite 112, Eaton, OH 45320
Ingrid M Brown Internal Medicine Internal Medicine Care, Inc 450 -b Washington-jackson Rd, Suite 112, Eaton, OH 45320
James A Bierly Optometry 1400 N Barron St, Eaton, OH 45320-1018
Steven E Shafer Chiropractic 1021 N Barron St, Eaton, OH 45320-1052
Karl Hofmann Optometry 309 Eaton Lewisburg Rd, Eaton, OH 45320-1104
Anthony Eugene Numrich Podiatry 227 N Barron St, Eaton, OH 45320-1703
Suzanne L Leach Od Optometry Jeffrey W Collins Od Inc 204 N Barron St, Suite B, Eaton, OH 45320-1765
James A. Brenn Chiropractic 399 E Saint Clair St, Eaton, OH 45320-2440
Nancy Jeanne Smith Psychiatry Samaritan Behavioral Health, Inc. 2172 Route 127 N, Suite A, Eaton, OH 45320-2535
Amy Beth Jones Clinical Social Worker Samaritan Behavioral Health, Inc. 2172 Route 127 N, Suite A, Eaton, OH 45320-2535
Find all physicians in zip 45320

Competitor

Search similar physicians

City EATON
Zip Code 45320
Specialty COLORECTAL SURGERY (PROCTOLOGY)
City + Specialty EATON + COLORECTAL SURGERY (PROCTOLOGY)

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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