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HEALTH SPECIALISTS OF DAYTON INC NPI 1164556908


NPI Information

NPI: 1164556908
Provider Name: HEALTH SPECIALISTS OF DAYTON INC

Doing Business As: YOUR PREMIER OBGYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
630 N MAIN ST
STE 200
SPRINGBORO, OH
ZIP 45066
Phone: (937) 748-8516
Get Directions

HEALTH SPECIALISTS OF DAYTON INC is an obstetrics gynecology in Springboro, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. HEALTH SPECIALISTS OF DAYTON INC NPI is 1164556908. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Your Premier Obgyn.

The provider's business location address is:

630 N MAIN ST
STE 200
SPRINGBORO, OH
ZIP 45066-519
Phone: (937) 748-8516
Fax: (937) 748-8732

The provider's authorized official is Kenneth Prunier .
The authorized official title is President And Ceo and has the following contact phone number (937) 208-8252.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19353865MEDICARE PINOHIO
22752025MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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