Health Specialists of Dayton Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

HEALTH SPECIALISTS OF DAYTON INC

Doing business as

David D Kim MD and Associates

Practice address

1 Wyoming St
Ste 3110 Berry Pavilion
Dayton, OH 45409-2722

Phone

(937) 208-6800

Fax

(937) 208-2139

NPI assigned

Sep 26, 2008

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTH SPECIALISTS OF DAYTON INCAs reported in NPPES

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

Authorized official

Name

Kenneth Prunier

Title

President/Ceo

Phone

(937) 208-8213

Specialties & licenses 1

Addresses

Other names 1

• David D Kim MD and Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

Health Specialists of Dayton Inc

Locations

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1083864037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "address_2": "STE 3110 BERRY PAVILION",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-6800",
            "fax_number": "937-208-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "address_2": "STE 3110 BERRY PAVILION",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-6800",
            "fax_number": "937-208-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SPECIALISTS OF DAYTON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH SPECIALISTS OF DAYTON INC",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "PRUNIER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-208-8213"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David D Kim MD and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health by Design
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• Health Specialists of Dayton Inc (Melissa P Roelle MD Company)
• Health Specialists of Dayton Inc (Ranjit R Pullarkat MD Company)

• Obstetrics & Gynecology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.