PREMIER CARDIOTHORACIC AND VASCULAR SURGEONS INC NPI 1811944531

NPI Information

  • NPI: 1811944531
  • Provider Name: PREMIER CARDIOTHORACIC AND VASCULAR SURGEONS INC
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • CLIA Number: 36D1006354
  • Address: 30 E APPLE ST STE 6200
    DAYTON, OH
    ZIP 45409
  • Phone: (937) 275-5100

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NPI Details

PREMIER CARDIOTHORACIC AND VASCULAR SURGEONS INC is a thoracic surgery cardiothoracic vascular surgery in Dayton, OH. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. PREMIER CARDIOTHORACIC AND VASCULAR SURGEONS INC NPI is 1811944531. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 E APPLE ST STE 6200
DAYTON, OH
ZIP 45409-939
Phone: (937) 275-5100
Fax: (937) 275-4587

The provider's authorized official is Kok H Lim .
The authorized official title is President and has the following contact phone number (937) 275-5100.

The CLIA number assigned to this NPI record is 36D1006354 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 8/15/2018.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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
12149946MEDICAIDOHIO
2000000039029OTHEROHIOANTHEM
3DB6525OTHEROHIORAILROAD MEDICARE

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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