NPI 1053931170

Ellis a Green, MD

Practitioner Hospitalist Physician Montgomery, OH

Practice location

Address: 10500 Montgomery Rd, Montgomery, OH 45242-4402
Phone: (513) 865-2246
Fax: (513) 865-5552

Registered specialties (3)

Hospitalist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 35.147159 (OH)

Other Hospitalist providers in Ohio →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 125.076113 (IL)

Other Internal Medicine providers in Ohio →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 35.147159 (OH)

Registry record

NPI: 1053931170
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2020
Record last updated: 3 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.