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PREMIER HEALTH SPECIALISTS INC NPI 1558667261


NPI Information

NPI: 1558667261
Provider Name: PREMIER HEALTH SPECIALISTS INC

Doing Business As: PREMIER OBGYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 36D2143526

Address:
630 N MAIN ST
SUITE 200
SPRINGBORO, OH
ZIP 45066
Phone: (937) 748-8516
Get Directions

PREMIER HEALTH SPECIALISTS 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. PREMIER HEALTH SPECIALISTS INC NPI is 1558667261. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Premier Obgyn.

The provider's business location address is:

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

The provider's authorized official is Christopher Danis .
The authorized official title is President/ceo and has the following contact phone number (937) 435-4263.

The CLIA number assigned to this NPI record is 36D2143526 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2011 and was last updated on 11/7/2013.


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
13133602MEDICAIDOHIO
29353865MEDICARE PINOHIO

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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