GREENE MEMORIAL HOSPITAL SERVICES INC NPI 1457384380

NPI Information

NPI: 1457384380
Provider Name: GREENE MEMORIAL HOSPITAL SERVICES INC

Other Name: ADVANCED MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10050 INNOVATION DR
SUITE 200
MIAMISBURG, OH
ZIP 45342
Phone: (937) 558-3208
Get Directions

GREENE MEMORIAL HOSPITAL SERVICES INC is a family medicine in Miamisburg, OH. The provider is 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. GREENE MEMORIAL HOSPITAL SERVICES INC NPI is 1457384380. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Advanced Medical Group.

The provider's business location address is:

10050 INNOVATION DR
SUITE 200
MIAMISBURG, OH
ZIP 45342-931
Phone: (937) 558-3208
Fax: (937) 558-3248

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 7/7/2006 and was last updated on 6/30/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208100000X	Physical Medicine & Rehabilitation		No
2	208200000X	Plastic Surgery		No
3	208000000X	Pediatrics		No
4	207R00000X	Internal Medicine		No
5	207X00000X	Orthopaedic Surgery		No
6	208M00000X	Hospitalist		No
7	2086S0129X	Surgery	Vascular Surgery	No
8	2084N0400X	Psychiatry & Neurology	Neurology	No
9	207RH0003X	Internal Medicine	Hematology & Oncology	No
10	207V00000X	Obstetrics & Gynecology		No
11	207RC0000X	Internal Medicine	Cardiovascular Disease	No
12	2084P0800X	Psychiatry & Neurology	Psychiatry	No
13	213ES0131X	Podiatrist	Foot Surgery	No
14	207Q00000X	Family Medicine		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DE7779	OTHER		RAILROAD MEDICARE
2	9273677	MEDICARE ID-TYPE UNSPECIFIED	OHIO
3	2639630	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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