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PREMIER HEART ASSOCIATES INC NPI 1992724199


NPI Information

NPI: 1992724199
Provider Name: PREMIER HEART ASSOCIATES, INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 36D0902629

Address:
6251 GOOD SAMARITAN WAY
STE 220
HUBER HEIGHTS, OH
ZIP 45424
Phone: (937) 236-5456
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PREMIER HEART ASSOCIATES, INC is a cardiovascular disease internal medicine in Huber Heights, 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 1992724199. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6251 GOOD SAMARITAN WAY
STE 220
HUBER HEIGHTS, OH
ZIP 45424-253
Phone: (937) 236-5456
Fax: (937) 236-5993

The provider's authorized official is Ramaswamy Bathini .
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 36D0902629 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/21/2022.


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
1207RC0000XInternal MedicineCardiovascular DiseaseOHIOYes

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
12319315MEDICAIDOHIO

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

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