NPIMap

Organization Active NPI

Premier Physicians Centers, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Middleburg Heights, OH
National Provider Identifier
1104412477
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PREMIER PHYSICIANS CENTERS, INC.
Practice address
18697 Bagley Rd # A317
Middleburg Heights, OH 44130-3417
Phone
(440) 816-6030
Fax
(440) 816-4268
NPI assigned
Dec 21, 2020
Organization subpart
Yes
Parent organization
PREMIER PHYSICIANS CENTERS, INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Charles Mica
Title
Coo
Phone
(440) 895-5057

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000335 OH Part B Supplier - Clinic/Group Practice 0345153326 Receives reassigned benefits from 55 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: North Olmsted, OH; Norwalk, OH; Rocky River, OH; Westlake, OH; Cleveland, OH; Middleburg Heights, OH; Brooklyn, OH; Elyria, OH…

National Provider Directory

National Provider Directory
Tax ID family
M E Sayed MD14 organizations share this tax ID, including this one
Part of
M E Sayed MD

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

278 Benedict Ave
Ste 950
Norwalk, OH 44857
Phone (419) 660-2893

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

NPPES NPI Registry

Primary practice location

18697 Bagley Rd # A317
Middleburg Heights, OH 44130-3417

Mailing address

24500 Center Ridge Rd Ste 375
Westlake, OH 44145-5631
Phone (440) 895-5010

Other names 1

NPPES NPI Registry
  • Sleep Center at Southwest General Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2020.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1104412477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD STE 375",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455631",
            "telephone_number": "440-895-5010",
            "fax_number": "440-895-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18697 BAGLEY RD # A317",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303417",
            "telephone_number": "440-816-6030",
            "fax_number": "440-816-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICIANS CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER PHYSICIANS CENTERS, INC.",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "MICA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "440-895-5057"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Center at Southwest General Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.