Individual provider Active NPI

Norman Xavier Greene, M.D.

  • Obstetrics & Gynecology Physician
  • Bellefontaine, OH
National Provider Identifier
1104026210
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.122880 Issued in OH
Practice address
1125 Rush Ave
Bellefontaine, OH 43311
Phone
(937) 599-3538
Fax
(937) 599-4712
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 245150 NY
Obstetrics & Gynecology Physician 207V00000X 35.122880 OH Primary

Addresses

Primary practice location

1125 Rush Ave
Bellefontaine, OH 43311

Mailing address

1125 Rush Ave
Bellefontaine, OH 43311-9488
Phone (937) 599-3538

Other identifiers 2

IdentifierTypeStateIssuer
02924647MedicaidNY
0358394MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL norman.greene@maryrutan.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170830001298 OH Practitioner - Obstetrics/Gynecology 1355437930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

110 Dowell Ave
Bellefontaine, OH 43311-2305
Phone (937) 599-3538

118 Dowell Ave
Bellefontaine, OH 43311-2305
Phone (937) 593-5437

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

Hospital & facility affiliations

  • Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince May 21, 2018 Accepting new patients
Mary Rutan Hospital Obstetrics & Gynecology CurrentSince May 21, 2018 Accepting new patients
Mary Rutan Hospital Current Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jun 7, 2024 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jun 7, 2024 Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Mercy Health - Tiffin Hospital LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

1125 Rush Ave
Bellefontaine, OH 43311
Phone (614) 764-1711

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

110 Dowell Ave
Bellefontaine, OH 43311
Phone (937) 593-0245

120 W Main St
Russells Point, OH 43348
Phone (937) 843-2048

8200 State Route 366
Ste 8
Russells Pt, OH 43348
Phone (937) 292-5063

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

1880 E US Highway 36
Urbana, OH 43078
Phone (937) 484-3500

209 Lippincott Ln
Urbana, OH 43078
Phone (937) 599-7058

Interoperability endpoints

  • Direct secure messaging: ngreene1239185@nychhc.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1104026210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 RUSH AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119488",
            "telephone_number": "937-599-3538",
            "fax_number": "937-599-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 RUSH AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311",
            "telephone_number": "937-599-3538",
            "fax_number": "937-599-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "NORMAN",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "245150",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.122880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02924647",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0358394",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "norman.greene@maryrutan.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1125 Rush Ave",
            "city": "Bellefontaine",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.