Active NPI
Samaritan Family Care Inc
Doing business as North Dayton Primary Care
- Internal Medicine Physician
- Dayton, OH
National Provider Identifier
1144404435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SAMARITAN FAMILY CARE INC
- Doing business as
- North Dayton Primary Care
- Practice address
- 7111 N Main St
Ste 10
Dayton, OH 45415-2565 - Phone
- (937) 277-2121
- Fax
- (937) 277-2213
- NPI assigned
- Dec 21, 2007
- Last updated
- Nov 8, 2013
- Organization subpart
- Yes
- Parent organization
- SAMARITAN FAMILY CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Prunier
- Title
- Ceo/President
- Phone
- (937) 208-8213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
7111 N Main St
Ste 10
Dayton, OH 45415-2565
Mailing address
7111 N Main St
Ste 10
Dayton, OH 45415-2565
Phone (937) 277-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2814100 | Medicaid | OH |
Other names 1
- North Dayton Primary Care
National Provider Directory
National Provider Directory- Part of
- Samaritian Family Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383868800000",
"number": "1144404435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 N MAIN ST",
"address_2": "STE 10",
"city": "DAYTON",
"state": "OH",
"postal_code": "454152565",
"telephone_number": "937-277-2121",
"fax_number": "937-277-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7111 N MAIN ST",
"address_2": "STE 10",
"city": "DAYTON",
"state": "OH",
"postal_code": "454152565",
"telephone_number": "937-277-2121",
"fax_number": "937-277-2213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMARITAN FAMILY CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAMARITAN FAMILY CARE INC",
"enumeration_date": "2007-12-21",
"last_updated": "2013-11-08",
"status": "A",
"authorized_official_last_name": "PRUNIER",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "937-208-8213"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2814100",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Dayton Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dayton, OH
- Samaritan Behavioral Health, Inc.
- Samaritan Behavioral Health, Inc.
- Samaritan Behavioral Health, Inc.
- Samaritan Emergency Corp
- Samaritan Family Care Inc (Family Physicians of Englewood)
- Samaritan Family Care Inc (Samaritan North Family Physicians)
- Samaritan Family Care Inc (Samaritan Primary Care Physicians)
- Samaritan Family Care Inc (Premier Family Medicine)
- Samaritan Family Care Inc (Samaritan Hospitalist Group)
- Samaritan Family Care Inc (Englewood After Hours Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.