Greene Memorial Hospital Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREENE MEMORIAL HOSPITAL SERVICES INC

Practice address

10050 Innovation Dr
Suite 200
Miamisburg, OH 45342-4931

Phone

(937) 558-3208

Fax

(937) 558-3248

NPI assigned

Jul 7, 2006

Last updated

Jun 30, 2014By the provider in NPPES

Organization subpart

No

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 14

Addresses

Other identifiers 2

Other names 1

• Advanced Medical Group Other name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirelle D. Applin, M.D.

  • Family Medicine Physician
  • Springfield, OH
  • NPI 1336196872
  NPD (past)
• Jessica D Gallagher, MD

  • Family Medicine Physician
  • Fairborn, OH
  • NPI 1124197793
  NPD (past)
• David D Goldberg, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Moraine, OH
  • NPI 1578563128
  NPD (past)
• Richard K Smith, DO

  • Family Medicine Physician
  • Jamestown, OH
  • NPI 1700886041
  NPD (past)
• Charles J. Zeller III, DO

  • Family Medicine Physician
  • Fairborn, OH
  • NPI 1114960820
  NPD (past)
• Sanjoy Saha, M.D.

  • Surgery Physician
  • Roanoke, VA
  • NPI 1508809195
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1457384380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 INNOVATION DR",
            "address_2": "SUITE 200",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453424931",
            "telephone_number": "937-558-3208",
            "fax_number": "937-558-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 INNOVATION DR",
            "address_2": "SUITE 200",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453424931",
            "telephone_number": "937-558-3208",
            "fax_number": "937-558-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE MEMORIAL HOSPITAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-06-30",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE7779",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2639630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley J Gould
• Esther Corina Gow-Lee Rivera, MD
• Sarah Marie Grassucci
• Tanner Andrew Graves, MD
• Leonard Maurice Gray
• Greene Memorial Hospital Services, Inc (Sycamore Women's Center)
• Kathryn Greene, RBT
• Jena Greiner
• Lindsay Grills
• Jerod B Grogg, PA

• Family Medicine Physician in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.