Active NPI
DRS Green and Hodge Inc
- Colon & Rectal Surgery Physician
- Huber Heights, OH
National Provider Identifier
1346461613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 34005569
- Legal business name
- DRS GREEN AND HODGE INC
- Practice address
- 8701 Old Troy Pike
Huber Heights, OH 45424 - Phone
- (937) 222-2096
- NPI assigned
- May 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darin L Green, DO
- Title
- Physician Owner
- Phone
- (937) 222-2096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 34005569 | OH | Primary |
Addresses
Primary practice location
8701 Old Troy Pike
Huber Heights, OH 45424
Mailing address
300 Forest Ave
Dayton, OH 45405-4500
Phone (937) 222-2096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0187640 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- DRS Green and Hodge Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Colon & Rectal Surgery Physician
- Centerville, OH
- NPI 1740406701
-
- Colon & Rectal Surgery Physician
- Springfield, OH
- NPI 1760608764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346461613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 FOREST AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454054500",
"telephone_number": "937-222-2096",
"fax_number": "937-222-2946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 OLD TROY PIKE",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "45424",
"telephone_number": "937-222-2096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS GREEN AND HODGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "DARIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "937-222-2096",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": "OH",
"license": "34005569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0187640",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.