Active NPI
Premier Health Specialists Inc
Doing business as Comprehensive Burn and Wound Specialists
- Surgery Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PREMIER HEALTH SPECIALISTS INC
- Doing business as
- Comprehensive Burn and Wound Specialists
- Practice address
- 1 Wyoming St
Suite 3272
Dayton, OH 45409-2722 - Phone
- (937) 208-6790
- Fax
- (937) 208-6797
- NPI assigned
- Jun 20, 2011
- Last updated
- Dec 26, 2013
- Organization subpart
- Yes
- Parent organization
- PREMIER HEALTH SPECIALISTS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Danis, MD
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1 Wyoming St
Suite 3272
Dayton, OH 45409-2722
Mailing address
1 Wyoming St
Suite 3272
Dayton, OH 45409-2722
Phone (937) 208-6790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052094 | Medicaid | OH |
Other names 1
- Comprehensive Burn and Wound Specialists
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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.
-
- Surgery of the Hand (Plastic Surgery) Physician
- Dayton, OH
- NPI 1487658993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388016000000",
"number": "1114213055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"address_2": "SUITE 3272",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722",
"telephone_number": "937-208-6790",
"fax_number": "937-208-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"address_2": "SUITE 3272",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722",
"telephone_number": "937-208-6790",
"fax_number": "937-208-6797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH SPECIALISTS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREMIER HEALTH SPECIALISTS INC",
"enumeration_date": "2011-06-20",
"last_updated": "2013-12-26",
"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": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0052094",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Burn and Wound Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dayton, OH
- Premier Health Specialists Inc (Ohio Eyecare Institute)
- Premier Health Specialists Inc (Premier Metabolic and Bariatric Associates)
- Premier Health Specialists Inc (Montgomery Orthopaedic Surgeons)
- Premier Health Specialists Inc (Miami Valley Surgery Associates)
- Premier Health Specialists Inc (Hand and Reconstructive Surgeons and Associates)
- Premier Health Specialists Inc (Midwest Surgeons of Dayton)
- Premier Health Specialists Inc (Health Psychology Associates)
- Premier Health Specialists Inc (Greater Dayton Cardiothoracic and Vascular Surgeons)
- Premier Health Specialists Inc (Premier Sports Medicine)
- Premier Health Specialists Inc (Premier Foot Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.