MEDICARE: DR. DARIN L. GREEN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208C00000X	Colon & Rectal Surgery Physician	34005569	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811043664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARIN L. GREEN DO

Provider Business Mailing Address
First Line	:	4403 W FRANKLIN ST STE B
Second Line	:
City	:	BELLBROOK
State	:	OH
Zip	:	45305-2700
Country	:	US
Telephone Number	:	937-222-2096
Fax Number	:	937-222-2946

Provider Business Practice Location Address
First Line	:	4403 W FRANKLIN ST STE B
Second Line	:
City	:	BELLBROOK
State	:	OH
Zip	:	45305-2700
Country	:	US
Telephone Number	:	937-222-2096
Fax Number	:	937-222-2946

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	02/03/2026

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