DRS Green and Hodge Inc

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

34005569 Issued in OH

Legal business name

DRS GREEN AND HODGE INC

Practice address

300 Forest Ave
Dayton, OH 45405-4500

Phone

(937) 222-2096

Fax

(937) 222-2946

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Addresses

Other identifiers 1

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": "1942426994",
    "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": "300 FOREST AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054500",
            "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": []
}

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• Colon & Rectal Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Colon & Rectal Surgery Physician in Ohio

• 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.