Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chad B Green, PA

Individual provider Medical Physician Assistant · NPI 1457371460

Chad B Green, PA is a Physician Assistant in Kettering, Ohio. Qualified in 2011, 15 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 395-6665
Fax: (937) 395-6668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 Piedmont Ave, Cincinnati, OH 45219-4231 — (513) 475-8690

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.002471 (OH)

Record details

NPI number1457371460
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Kettering