Premier Clinical Research

Primary specialty

Research Clinic/CenterTaxonomy code 261QR1100X

Legal business name

PREMIER CLINICAL RESEARCH

Doing business as

STAT Health
STAT Research

Practice address

66 Remick Blvd
Springboro, OH 45066-9168

Phone

(937) 223-4229

Fax

(937) 424-9691

NPI assigned

Feb 15, 2022

Last updated

Jun 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Derek A. Tipton

Title

President/Ceo

Phone

(937) 262-4426

Specialties & licenses 3

Addresses

Other names 2

• STAT Health Doing business as
• STAT Research Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Jason W Grimm, ACNP

  • Acute Care Nurse Practitioner
  • Vandalia, OH
  • NPI 1083866032
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1104571439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 REMICK BLVD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669168",
            "telephone_number": "937-223-4229",
            "fax_number": "937-424-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 REMICK BLVD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669168",
            "telephone_number": "937-223-4229",
            "fax_number": "937-424-9691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Aviator Ct Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "OH",
            "postal_code": "453779474",
            "country_code": "US",
            "telephone_number": "937-223-4229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER CLINICAL RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-262-4426",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAT Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STAT Research",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STAT Research",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Lynn Phillips-Harris, LPC
• Phyllis Kuehnl PHD & Assoc. Inc.
• Jacob Pitts
• Stephanie M Porter, LPC-T
• Lynn Marie Powers, D.O.
• Premier Community Health (Springboro Health Clinic)
• Premier Health Specialists Inc (Premier OBGyn)
• Premier Health Specialists Inc (Advanced Surgical Partners)
• Premier Integrated Medical Assoc LTD (PriMed Physicians)
• Premiere Home Health Services, LLC

• Research Clinic/Center in Springboro, OH
• Providers in Springboro, OH by specialty
• Research Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.