Healthcare Provider Details

I. General information

NPI: 1245337245
Provider Name (Legal Business Name): DARIUS K. GREENBACHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DARIUS RORABACHER M.D.

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BIRNIE AVE STE 201
SPRINGFIELD MA
01107-1121
US

IV. Provider business mailing address

300 BIRNIE AVE STE 201
SPRINGFIELD MA
01107-1121
US

V. Phone/Fax

Practice location:
  • Phone: 413-785-4666
  • Fax:
Mailing address:
  • Phone: 413-785-4666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number216818
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number216818
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: