GREENE MEMORIAL HOSPITAL SERVICES, LLC (NPI# 1689941403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689941403 |
| Entity Type | Organization |
| Organization Name | GREENE MEMORIAL HOSPITAL SERVICES, LLC |
| Other Organization Name | DAVID J ETTINGER, MD |
| Practice Address |
3359 Kemp Rd Suite 200 Beavercreek OH 45431-2565 |
| Mailing Address |
2110 Leiter Rd Miamisburg OH 45342-3660 |
| Practice Telephone | 9374297307 |
| Practice Fax Number | 9374297320 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2639630 | 05 |
| Other Name | Type Code |
|---|---|
| David J Ettinger, MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033486857 | Greene Memorial Hospital Services, LLC | Podiatrist | 4441 Far Hills Ave, Kettering, OH 45429-2405 | 2011-11-22 |
| 1710263041 | Greene Memorial Hospital Services, LLC | Family Medicine | 979 Congress Park Dr, Centerville, OH 45459-4009 | 2011-11-01 |
| Street Address |
3359 KEMP RD SUITE 200 |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431-2565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619976453 | David J Ettinger | Plastic Surgery | 3359 Kemp Rd, Ste. 200, Beavercreek, OH 45431-2565 | 2005-07-14 |
| 1124566500 | Wright Rx Pharmacy, LLC | Pharmacy | 3359 Kemp Rd, Suite 230, Beavercreek, OH 45431-2565 | 2017-02-07 |
| 1750836565 | Meta Lisa Howard | Nurse Practitioner | 3359 Kemp Rd, Suite 250 B, Beavercreek, OH 45431-2565 | 2016-08-22 |
| 1891049722 | Alliance Physicians Inc | Family Medicine | 3359 Kemp Rd, Suite 100, Beavercreek, OH 45431-2565 | 2012-10-30 |
| 1003183831 | Greene Memorial Hospital Services, Inc | Family Medicine | 3359 Kemp Rd, Suite 100, Beavercreek, OH 45431-2565 | 2011-11-22 |
| 1932476751 | Greene Memorial Hospital Services, Inc | Family Medicine | 3359 Kemp Rd, Suite 250 B, Beavercreek, OH 45431-2565 | 2011-11-22 |
| 1740557560 | Greene Memorial Hospital Services, Inc | Family Medicine | 3359 Kemp Rd, Suite A, Beavercreek, OH 45431-2565 | 2011-11-22 |
| 1689960205 | Saurabh Basundhra | Family Medicine | 3359 Kemp Rd, Suite 250b, Beavercreek, OH 45431-2565 | 2011-06-22 |
| 1174761571 | Digestive Specialists Inc | Internal Medicine | 3359 Kemp Rd, Beavercreek, OH 45431-2565 | 2009-01-23 |
| 1770751604 | Greene Memorial Hospital Services Inc | Durable Medical Equipment & Medical Supplies | 3359 Kemp Rd, Ste. 240, Beavercreek, OH 45431-2565 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619976453 | David J Ettinger | Plastic Surgery | 3359 Kemp Rd, Ste. 200, Beavercreek, OH 45431-2565 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672439 | Stratus Plastic Surgery LLC | Plastic Surgery | 7227 N High St Ste 256, Worthington, OH 43085-2575 | 2019-10-30 |
| 1467910737 | Sarkos Plastic Surgery LLC | Plastic Surgery | 2662 Elm Rd Bldg C, Cortland, OH 44410-9393 | 2019-03-06 |
| 1710454368 | Surfield Plastic Surgery, LLC | Plastic Surgery | 701 Tyler St Ste 301, Sandusky, OH 44870-3321 | 2018-10-31 |
| 1376931105 | Jacob Keith Crittenden IIi | Plastic Surgery | 621 Tusculum Ave, Cincinnati, OH 45226-1771 | 2015-01-01 |
| 1689910184 | Thomas Eades Shaw | Plastic Surgery | 3480 Roundwood Rd, Chagrin Falls, OH 44022-6636 | 2013-01-02 |
| 1588919617 | Joseph Meyerson | Plastic Surgery | 915 Olentangy River Rd Ste 2100, Columbus, OH 43212-3154 | 2012-07-15 |
| 1427312123 | Carmen Paradis | Plastic Surgery | 10311 Bartholomew Rd, Chagrin Falls, OH 44023-2303 | 2012-06-27 |
| 1639455546 | Mehmet Bozkurt | Plastic Surgery | Cleveland Clinic 9500 Euclid Avenue A60, Cleveland, OH 44195-0001 | 2011-10-25 |
| 1699063057 | Shahryar Tork | Plastic Surgery | 4850 Red Bank Rd Fl 2, Cincinnati, OH 45227 | 2011-07-19 |
| 1083914774 | Som N Tandon Md Inc | Plastic Surgery | 3551 Springdale Rd, Cincinnati, OH 45251-1343 | 2010-10-27 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
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| 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.