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GREENE MEMORIAL HOSPITAL SERVICES LLC NPI 1689941403


NPI Information

NPI: 1689941403
Provider Name: GREENE MEMORIAL HOSPITAL SERVICES, LLC

Doing Business As: DAVID J ETTINGER, MD

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
3359 KEMP RD
SUITE 200
BEAVERCREEK, OH
ZIP 45431
Phone: (937) 429-7307
Get Directions

GREENE MEMORIAL HOSPITAL SERVICES, LLC is a plastic surgery in Beavercreek, OH. The provider is 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. GREENE MEMORIAL HOSPITAL SERVICES, LLC NPI is 1689941403. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As David J Ettinger, Md.

The provider's business location address is:

3359 KEMP RD
SUITE 200
BEAVERCREEK, OH
ZIP 45431-565
Phone: (937) 429-7307
Fax: (937) 429-7320

The provider's authorized official is Daniel D Haibach .
The authorized official title is Director Business Development and has the following contact phone number (937) 558-3222.

The enumeration date for this NPI number is 11/22/2011 and was last updated on 11/22/2011.


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
1208200000XPlastic SurgeryYes

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
12639630MEDICAIDOHIO
29273677MEDICARE 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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