Organization Active NPI

Premier Health Specialists Inc

Doing business as Middletown Pulmonary and Critical Care

  • Pulmonary Disease Physician
  • Middletown, OH
National Provider Identifier
1033401179
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PREMIER HEALTH SPECIALISTS INC
Doing business as
Middletown Pulmonary and Critical Care
Practice address
200 Medical Center Dr
Suite 180B
Middletown, OH 45005-5200
Phone
(513) 420-8030
Fax
(513) 425-7202
NPI assigned
May 9, 2011
Last updated
Nov 7, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER HEALTH SPECIALISTS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Danis, MDNPI 1487658993
Title
President/Ceo
Phone
(937) 435-4263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

200 Medical Center Dr
Suite 180B
Middletown, OH 45005-5200

Mailing address

200 Medical Center Dr
Suite 180B
Middletown, OH 45005-5200
Phone (513) 420-8030

Other identifiers 1

IdentifierTypeStateIssuer
3152289MedicaidOH

Other names 1

  • Middletown Pulmonary and Critical Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050610000010 OH Part B Supplier - Clinic/Group Practice 5597708594 Receives reassigned benefits from 938 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Premierhealth

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1033401179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 180B",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055200",
            "telephone_number": "513-420-8030",
            "fax_number": "513-425-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 180B",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055200",
            "telephone_number": "513-420-8030",
            "fax_number": "513-425-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SPECIALISTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH SPECIALISTS  INC",
        "enumeration_date": "2011-05-09",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "DANIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-435-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3152289",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middletown Pulmonary and Critical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.