PREMIER HEART ASSOCIATES INC NPI 1770623340

NPI Information

  • NPI: 1770623340
  • Provider Name: PREMIER HEART ASSOCIATES, INC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 730 W MARKET ST
    LIMA, OH
    ZIP 45801
  • Phone: (937) 832-2425

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NPI Details

PREMIER HEART ASSOCIATES, INC is a cardiovascular disease internal medicine in Lima, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PREMIER HEART ASSOCIATES, INC NPI is 1770623340. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

730 W MARKET ST
LIMA, OH
ZIP 45801-602
Phone: (937) 832-2425
Fax: (932) 832-9804

The provider's authorized official is George T Broderick .
The authorized official title is President and has the following contact phone number (937) 832-2425.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 10/12/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19309923MEDICARE ID-TYPE UNSPECIFIEDOHIO
22212117MEDICAIDOHIO

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: 3/30/2025

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