Organization Active NPI

Premier Health Specialists Inc

Doing business as Womens Health Specialists and Midwives of Dayton

  • Obstetrics Physician
  • Vandalia, OH
National Provider Identifier
1154472934
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
PREMIER HEALTH SPECIALISTS INC
Doing business as
Womens Health Specialists and Midwives of Dayton
Practice address
900 S Dixie Dr
Suite 40
Vandalia, OH 45377-2657
Phone
(937) 890-6644
Fax
(937) 890-1726
NPI assigned
Jan 16, 2007
Last updated
Nov 7, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER HEALTH SPECIALISTS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Christopher Danis
Title
President/Ceo
Phone
(937) 499-9015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X Primary
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X

Addresses

Primary practice location

900 S Dixie Dr
Suite 40
Vandalia, OH 45377-2657

Mailing address

900 S Dixie Dr
Suite 40
Vandalia, OH 45377-2657
Phone (937) 890-6644

Other names 1

  • Womens Health Specialists and Midwives of Dayton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Premier Health Specialist Inc

Locations

900 S Dixie Dr
Ste 40
Vandalia, OH 45377
Phone (937) 890-6644

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1154472934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S DIXIE DR",
            "address_2": "SUITE 40",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772657",
            "telephone_number": "937-890-6644",
            "fax_number": "937-890-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S DIXIE DR",
            "address_2": "SUITE 40",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772657",
            "telephone_number": "937-890-6644",
            "fax_number": "937-890-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SPECIALISTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH SPECIALISTS INC",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "DANIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-499-9015"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Health Specialists and Midwives of Dayton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.