PREMIER HEART ASSOCIATES INC NPI 1861532434

NPI Information

NPI: 1861532434
Provider Name: PREMIER HEART ASSOCIATES, INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 36D2246262

Address:
25 W HARDING RD
SPRINGFIELD, OH
ZIP 45504
Phone: (937) 832-2425
Get Directions

PREMIER HEART ASSOCIATES, INC is a cardiovascular disease internal medicine in Springfield, 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 1861532434. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25 W HARDING RD
SPRINGFIELD, OH
ZIP 45504-396
Phone: (937) 832-2425
Fax: (937) 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 CLIA number assigned to this NPI record is 36D2246262 - physician office with a certificate type of Certificate of Waiver.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease			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
1	2212117	MEDICAID	OHIO
2	9309923	MEDICARE ID-TYPE UNSPECIFIED	OHIO

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

NPI Synchronization or Removal

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