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GREENE MEMORIAL HOSPITAL SERVICES INC. NPI 1205146016


NPI Information

NPI: 1205146016
Provider Name: GREENE MEMORIAL HOSPITAL SERVICES, INC.

Doing Business As: ADVANCED MEDICAL GROUP

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4441 FAR HILLS AVE
KETTERING, OH
ZIP 45429
Phone: (937) 298-7351
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GREENE MEMORIAL HOSPITAL SERVICES, INC. is a podiatrist in Kettering, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GREENE MEMORIAL HOSPITAL SERVICES, INC. NPI is 1205146016. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Medical Group.

The provider's business location address is:

4441 FAR HILLS AVE
KETTERING, OH
ZIP 45429-405
Phone: (937) 298-7351
Fax: (937) 298-9458

The provider's authorized official is Timothy Y Ko .
The authorized official title is Cfo and has the following contact phone number (937) 558-3208.

The enumeration date for this NPI number is 10/14/2010 and was last updated on 9/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16670250002MEDICARE NSCOHIO
22639630MEDICAIDOHIO
39273677MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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