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PREMIER HEALTH SPECIALISTS INC NPI 1194958223


NPI Information

NPI: 1194958223
Provider Name: PREMIER HEALTH SPECIALISTS INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 36D2178836

Address:
3170 KETTERING BLVD
BUILDING B 3RD FLOOR
MORAINE, OH
ZIP 45439
Phone: (937) 991-3188
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PREMIER HEALTH SPECIALISTS INC is an internal medicine in Moraine, OH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PREMIER HEALTH SPECIALISTS INC NPI is 1194958223. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3170 KETTERING BLVD
BUILDING B 3RD FLOOR
MORAINE, OH
ZIP 45439-924
Phone: (937) 991-3188
Fax: (937) 223-9811

The provider's authorized official is Louis Ralofsky .
The authorized official title is Ceo/president and has the following contact phone number (937) 499-8205.

The CLIA number assigned to this NPI record is 36D2178836 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2009 and was last updated on 10/21/2019.


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
1103TC0700XPsychologistClinicalNo
2204F00000XTransplant SurgeryNo
3207Q00000XFamily MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RC0200XInternal MedicineCritical Care MedicineNo
6207V00000XObstetrics & GynecologyNo
7207RI0011XInternal MedicineInterventional CardiologyNo
8207RI0200XInternal MedicineInfectious DiseaseNo
9207UN0901XNuclear MedicineNuclear CardiologyNo
10208600000XSurgeryNo
11208800000XUrologyNo
12208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
13363A00000XPhysician AssistantNo
14363L00000XNurse PractitionerNo
15207R00000XInternal MedicineYes

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
10081671MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.