GREENE MEMORIAL HOSPITAL SERVICES, LLC


Address: 4441 Far Hills Ave, Kettering, OH 45429-2405
Phone: 9372987351

GREENE MEMORIAL HOSPITAL SERVICES, LLC (NPI# 1033486857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033486857
Entity Type Organization
Organization Name GREENE MEMORIAL HOSPITAL SERVICES, LLC
Other Organization Name FAR HILLS MEDICINE & PODIATRY
Practice Address 4441 Far Hills Ave
Kettering
OH 45429-2405
Mailing Address 2110 Leiter Rd
Miamisburg
OH 45342-3660
Practice Telephone 9372987351
Practice Fax Number 9372989458
Mailing Telephone 9373844838
Mailing Fax Number 9373844845
Enumeration Date 2011-11-22
Last Update Date 2011-11-22
Authorized Official Name DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT)
Authorized Official Telephone 9375583222
Is Organization Subpart Y
Parent Organization Name GREENE MEMORIAL HOSPITAL SERVICES, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213ES0131X Podiatrist
Specialization: Foot Surgery
Podiatric Medicine & Surgery Service Providers
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2639630 05

Other Provider/Organization Names

Other Name Type Code
Far Hills Medicine & Podiatry Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689941403 Greene Memorial Hospital Services, LLC Plastic Surgery 3359 Kemp Rd, Suite 200, Beavercreek, OH 45431-2565 2011-11-22
1710263041 Greene Memorial Hospital Services, LLC Family Medicine 979 Congress Park Dr, Centerville, OH 45459-4009 2011-11-01

Office Location

Street Address 4441 FAR HILLS AVE
City KETTERING
State OH
Zip Code 45429-2405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184624413 Arvin K Nanda Family Medicine 4441 Far Hills Ave, Kettering, OH 45429 2005-07-28
1659802973 Katherine Suzanne De La Pena Internal Medicine 4441 Far Hills Ave, Kettering, OH 45429-2405 2017-03-27
1477085702 David De La Pena Internal Medicine 4441 Far Hills Ave, Kettering, OH 45429-2405 2017-03-27
1811358682 Alliance Physicians, Inc. Family Medicine 4441 Far Hills Ave, Kettering, OH 45429-2405 2016-03-08
1720475668 Travis Wheeler Family Medicine 4441 Far Hills Ave, Kettering, OH 45429 2015-04-17
1972922375 Lila Gwin Family Medicine 4441 Far Hills Ave, Kettering, OH 45429-2405 2014-04-14
1093151060 Kyle Ott Family Medicine 4441 Far Hills Ave, Kettering, OH 45429-2405 2013-05-17
1205146016 Greene Memorial Hospital Services, Inc. Family Medicine 4441 Far Hills Ave, Kettering, OH 45429-2405 2010-10-14
1609194588 Mary Katelin Kanoza Family Medicine 4441 Far Hills Ave, Kettering, OH 45429-2405 2010-05-17
1184677585 Iman Bastawros Family Medicine 4441 Far Hills Ave, Kettering, OH 45429-2405 2006-05-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821576414 Lauren Danielle Sivley Nurse Practitioner 3535 Sourthern Boulevard, Kettering, OH 45429 2018-08-06
1114446127 Louai Al-samkari Chiropractor 1441 E. Stroop Rd., Kettering, OH 45429 2017-09-12
1407373756 Benjamin Edward Adkins Specialist/Technologist 4116 Vinita Dr., Kettering, OH 45429 2017-08-28
1972036341 James Kim Student in an Organized Health Care Education/Training Program 3535 Southern Boulevard, Kettering, OH 45429 2017-04-04
1023549847 Adrienne Krysiak Emergency Medicine 3525 Southern Boulevard, Kettering, OH 45429 2017-03-23
1386021889 Cassandra Mckoy Counselor 529 East Stroop Road, Kettering, OH 45429 2015-05-04
1417343088 Candace Benoit Obstetrics & Gynecology 3533 Southern Blvd Ste 4600, Dayton, OH 45429 2015-04-10
1275933574 Lee Schwieterman Nurse Practitioner 3535 Southern Blvd., 1 East, Kettering, OH 45429 2014-08-25
1497161947 Robert Jonathon Fresch Jr. Obstetrics & Gynecology 3533 Southern Blvd Ste 3750, Kettering, OH 45429 2014-07-05
1821349812 Lucas Brewer Counselor 1524 E Stroop Rd Ste 300, Kettering, OH 45429 2012-10-01
Find all providers in zip 45429

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821361510 William A Erwin Family Medicine 4717 Elzo Ln, Kettering, OH 45440-2026 2012-02-12
1376764944 Letitia Canice Thompson-hargrave Family Medicine 513 E Stroop Rd, Kettering, OH 45429-3224 2007-05-01
1023102084 Christian E. Koch Family Medicine 3080 Ackerman Blvd Ste 110, Kettering, OH 45429-3559 2006-10-03
1437256187 Joseph Gregory Dudash Family Medicine 500 Lincoln Park Blvd Ste 220, Kettering, OH 45429-6404 2006-09-17
1134131519 Carol Gaut Ryan Family Medicine 1360 E Stroop Rd, Kettering, OH 45429-4926 2006-08-13
1922051994 Mvhe Inc Family Medicine 1525 E Stroop Rd, Suite 200, Kettering, OH 45429-5065 2006-05-18
1932163409 James A. Derksen Family Medicine 1900 Composite Drive, Kettering, OH 45420-1475 2006-04-13
1366429342 Carillon Family Practice Ltd Family Medicine 2501 S Dixie Dr, Kettering, OH 45409-1523 2005-12-29
1053307447 Bradford J Murphy Family Medicine 3716 Wilmington Pike, Kettering, OH 45429-4845 2005-09-21
1184624413 Arvin K Nanda Family Medicine 4441 Far Hills Ave, Kettering, OH 45429 2005-07-28
Find all providers in KETTERING

Competitor

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City KETTERING
Zip Code 45429

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Dataset Information

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.

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