GREENE MEMORIAL HOSPITAL SERVICES, LLC (NPI# 1710263041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710263041 |
| Entity Type | Organization |
| Organization Name | GREENE MEMORIAL HOSPITAL SERVICES, LLC |
| Other Organization Name | CONGRESS PARK FAMILY PRACTICE |
| Practice Address |
979 Congress Park Dr Centerville OH 45459-4009 |
| Mailing Address |
2110 Leiter Rd Miamisburg OH 45342-3660 |
| Practice Telephone | 9374359013 |
| Practice Fax Number | 9374351458 |
| Mailing Telephone | 9373844838 |
| Mailing Fax Number | 9373844845 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2639630 | 05 |
| Other Name | Type Code |
|---|---|
| Congress Park Family Practice | 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 |
| 1689941403 | Greene Memorial Hospital Services, LLC | Plastic Surgery | 3359 Kemp Rd, Suite 200, Beavercreek, OH 45431-2565 | 2011-11-22 |
| Street Address |
979 CONGRESS PARK DR |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639134448 | Carrol H Estep | Family Medicine | 979 Congress Park Dr, Centerville, OH 45459-4009 | 2006-04-18 |
| 1144500554 | Jonathan Justin Hutcheson | Family Medicine | 979 Congress Park Dr, Centerville, OH 45459 | 2011-08-17 |
| 1710270889 | Ewa Anna Campbell | Family Medicine | 979 Congress Park Dr, Centerville, OH 45459-4009 | 2011-05-24 |
| 1598988677 | Paula Michelle Henry | Nurse Practitioner | 979 Congress Park Dr, Centerville, OH 45459 | 2007-04-10 |
| 1093892903 | Lauree Beth Lawler | Registered Nurse | 979 Congress Park Dr, Centerville, OH 45459-4009 | 2006-11-01 |
| 1073570370 | Premier Integreated Medical Assoc Ltd | Family Medicine | 979 Congress Park Dr, Centerville, OH 45459-4009 | 2006-04-28 |
| 1699730267 | B Scott Teater | Family Medicine | 979 Congress Park Dr, Centerville, OH 45459-4009 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| 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 |
|---|---|---|---|---|
| 1841746682 | Care Bridge Practitioners of Dayton, LLC | Family Medicine | 1217 F Lyons Rd, Centerville, OH 45458-1858 | 2016-08-31 |
| 1396158440 | Paul Allen Chiles | Family Medicine | 5 Kamholz Rd, Centerville, WA 98613 | 2014-06-06 |
| 1831518323 | Paul Anthony Krebs | Family Medicine | 2350 Miami Valley Dr Ste 320, Centerville, OH 45459-4778 | 2014-04-10 |
| 1912257718 | Sabiha T. Siddiqui, LLC | Family Medicine | 10775 Falls Creek Ln, Centerville, OH 45458-6063 | 2012-09-19 |
| 1508153289 | Taj A Rashid Md Inc | Family Medicine | 1500 Yankee Park Pl, Centerville, OH 45458-1878 | 2011-07-01 |
| 1326174095 | Steven C. Lore, M.d., P.l.l.c. | Family Medicine | 1439 N 400 W, Centerville, UT 84014-1127 | 2007-02-26 |
| 1144300377 | John Crocker | Family Medicine | 366 Simcoe Mt. Road, Centerville, WA 98613 | 2006-10-16 |
| 1518054337 | Christopher James Sesslar | Family Medicine | 6627 Centerville Business Pkwy, Centerville, OH 45459-2655 | 2006-10-05 |
| 1881633386 | Paul Brammer | Family Medicine | 2350 Miami Valley Drive, Suite 530, Centerville, OH 45459-2786 | 2006-06-06 |
| 1700835865 | State University of Iowa | Family Medicine | 19876 St. Joseph Drive, Centerville, IA 52544 | 2006-05-08 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
Please comment or provide details below to improve the information on GREENE MEMORIAL HOSPITAL SERVICES, LLC.
| 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.