PREMISE HEALTH OF OHIO MEDICAL, P.A is a multi-specialty clinic center in Bainbridge, OH. PREMISE HEALTH OF OHIO MEDICAL, P.A NPI is 1780350181. The provider is registered as an organization entity type. The provider Is Doing Business As Scioto Advantage - Bainbridge.
The provider's business location address is:
7454 US RT 50 BAINBRIDGE, OH ZIP 45612 Phone: (740) 634-3510
The provider's authorized official is Jonathan Leizman . The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 36D2168603 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/17/2021 and was last updated on 8/15/2022.
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:
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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