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).
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
360355 | OHIO VALLEY MEDICAL CENTER, LLC |
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 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 15% |
Organization Legal Name | PROVIDENCE MEDICAL GROUP |
Physicians | 50 |
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 |
Street Address |
450 B WASHINGTON JACKSON RD SUITE 111 |
City | EATON |
State | OH |
Zip | 45320-7600 |
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 |
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 |
City | EATON |
Zip Code | 45320 |
Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
City + Specialty | EATON + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Darin L Green.
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.