Organization Active NPI

DRS Green and Hodge Inc

  • Colon & Rectal Surgery Physician
  • Centerville, OH
National Provider Identifier
1740406701
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
34005569 Issued in OH
Legal business name
DRS GREEN AND HODGE INC
Practice address
1989 Miamisburg Centerville Rd
Suite 201 Satellite Office
Centerville, OH 45459
Phone
(937) 222-2096
Fax
(937) 222-2946
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 34005569 OH Primary

Addresses

Primary practice location

1989 Miamisburg Centerville Rd
Suite 201 Satellite Office
Centerville, OH 45459

Mailing address

300 Forest Ave
Dayton, OH 45405-4500
Phone (937) 222-2096

Other identifiers 1

IdentifierTypeStateIssuer
0187640MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
DRS Green and Hodge Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1740406701",
    "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": "1989 MIAMISBURG CENTERVILLE RD",
            "address_2": "SUITE 201 SATELLITE OFFICE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-222-2096",
            "fax_number": "937-222-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS GREEN AND HODGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-06-24",
        "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 Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.