NPIMap

Organization Active NPI

Premier Physicians Centers Inc

  • Durable Medical Equipment & Medical Supplies
  • North Olmsted, OH
National Provider Identifier
1194224170
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER PHYSICIANS CENTERS INC
Practice address
25761 Lorain Rd FL 2
North Olmsted, OH 44070-3368
Phone
(440) 734-4900
Fax
(440) 734-4902
NPI assigned
Feb 6, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER PHYSICIANS CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Jeff Dybiec
Title
Cfo
Phone
(440) 895-5036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

25761 Lorain Rd FL 2
North Olmsted, OH 44070-3368

Mailing address

24651 Center Ridge Rd Ste 350
Westlake, OH 44145-5627
Phone (440) 895-5056

Other identifiers 1

IdentifierTypeStateIssuer
0119204MedicaidOH

Other names 1

  • Remedy Sleep Disorders Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180412002825 OH DME Supplier - Sleep Laboratory/Medicine 0345153326 Practice locations: Westlake, OH

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Premier Physicians Centers Inc14 organizations share this tax ID, including this one
Part of
Premier Physicians Centers Inc

Other organizations with this tax ID 13

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

View all 13

Locations

24500 Center Ridge Rd
Ste 375
Westlake, OH 44145
Phone (440) 467-1954

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1194224170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24651 CENTER RIDGE RD STE 350",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455627",
            "telephone_number": "440-895-5056",
            "fax_number": "440-895-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25761 LORAIN RD FL 2",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703368",
            "telephone_number": "440-734-4900",
            "fax_number": "440-734-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICIANS CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER PHYSICIANS CENTERS INC",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DYBIEC",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "440-895-5036"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119204",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remedy Sleep Disorders Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.