Greene Memorial Hospital Services, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

GREENE MEMORIAL HOSPITAL SERVICES, INC.

Doing business as

Midwest Orthopedics & Sports Medicine

Practice address

840 NW Washington Blvd
Suite a
Hamilton, OH 45013-6384

Phone

(513) 867-4165

Fax

(513) 867-4168

NPI assigned

Nov 22, 2011

Organization subpart

Yes

Parent organization

GREENE MEMORIAL HOSPITAL SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Timothy Y Ko

Title

Cfo

Phone

(937) 558-3208

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Midwest Orthopedics & Sports Medicine Doing business as

Part of

Greene Memorial Hosp SE

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1104193937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL",
            "address_2": "SUITE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423794",
            "telephone_number": "937-762-1306",
            "fax_number": "937-522-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD",
            "address_2": "SUITE A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136384",
            "telephone_number": "513-867-4165",
            "fax_number": "513-867-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE MEMORIAL HOSPITAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENE MEMORIAL HOSPITAL SERVICES, INC.",
        "enumeration_date": "2011-11-22",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "937-558-3208"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2639630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Renee Green
• Rachel R Green, LSW
• Greene Memorial Hospital Services, Inc
• Greene Memorial Hospital Services, Inc
• Greene Memorial Hospital Services, Inc.
• Carter Jace Michael Greene
• Gregory a Parker MD LLC
• Debra Greutman, COTA/L
• Rene William Grieselhuber, DDS
• Ann Marie Griffin

• Orthopaedic Surgery Physician in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.