Active NPI
Mvhe Inc
- Rheumatology Physician
- Dayton, OH
National Provider Identifier
1013116409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- MVHE INC
- Practice address
- 1520 S Main St
Ste 3
Dayton, OH 45409-2698 - Phone
- (937) 208-7275
- Fax
- (937) 208-7282
- NPI assigned
- Jul 16, 2007
- Organization subpart
- Yes
- Parent organization
- MVHE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth J Prunier
- Title
- President and Ceo
- Phone
- (937) 208-8252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
1520 S Main St
Ste 3
Dayton, OH 45409-2698
Mailing address
1520 S Main St
Ste 3
Dayton, OH 45409-2698
Phone (937) 208-7275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2813343 | Medicaid | OH |
Other names 1
- Premier Arthritis and Osteoporosis Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Other NPIs on the same Medicare enrollment 47
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Comprehensive Primary C
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Middletown, OH
- NPI 1790765725
-
- Family Nurse Practitioner
- Dayton, OH
- NPI 1063829240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383696000000",
"number": "1013116409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 S MAIN ST",
"address_2": "STE 3",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092698",
"telephone_number": "937-208-7275",
"fax_number": "937-208-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S MAIN ST",
"address_2": "STE 3",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092698",
"telephone_number": "937-208-7275",
"fax_number": "937-208-7282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MVHE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MVHE INC",
"enumeration_date": "2007-07-16",
"last_updated": "2013-11-06",
"status": "A",
"authorized_official_last_name": "PRUNIER",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "937-208-8252"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2813343",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Arthritis and Osteoporosis Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.