NPIMap

Organization Active NPI

Greene Memorial Hospital Services, Inc

Doing business as GMH Radiation Oncology

  • Radiation Oncology Physician
  • Xenia, OH
National Provider Identifier
1609143437
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
GREENE MEMORIAL HOSPITAL SERVICES, INC
Doing business as
GMH Radiation Oncology
Practice address
1141 N Monroe Dr
Suite B
Xenia, OH 45385-1619
Phone
(937) 352-2146
Fax
(937) 252-3141
NPI assigned
Nov 22, 2011
Last updated
Nov 22, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
GREENE MEMORIAL HOSPITAL SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Daniel D Haibach
Title
Director Business Development
Phone
(937) 558-3222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X Primary
Therapeutic Radiology Physician 2085R0203X

Addresses

Primary practice location

1141 N Monroe Dr
Suite B
Xenia, OH 45385-1619

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3660
Phone (937) 384-4838

Other identifiers 1

IdentifierTypeStateIssuer
2639630MedicaidOH

Other names 1

  • GMH Radiation Oncology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greene Memorial Hospita32 organizations share this tax ID, including this one
Part of
Greene Memorial Hospita

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

1141 N Monroe Dr
Ste B
Xenia, OH 45385
Phone (937) 352-2146

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1609143437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LEITER RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423660",
            "telephone_number": "937-384-4838",
            "fax_number": "937-384-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N MONROE DR",
            "address_2": "SUITE B",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851619",
            "telephone_number": "937-352-2146",
            "fax_number": "937-252-3141"
        }
    ],
    "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": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "HAIBACH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "937-558-3222"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2639630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GMH Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.