NPIMap

Organization Active NPI

Premier Health Specialists Inc

Doing business as Greater Dayton Cardiothoracic and Vascular Surgeons

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dayton, OH
National Provider Identifier
1285808543
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
PREMIER HEALTH SPECIALISTS INC
Doing business as
Greater Dayton Cardiothoracic and Vascular Surgeons
Practice address
1520 S Main St
Suite 3
Dayton, OH 45409-2698
Phone
(937) 208-7240
Fax
(937) 208-7242
NPI assigned
Apr 17, 2008
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 DanisNPI 1487658993
Title
Ceo/President
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)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

1520 S Main St
Suite 3
Dayton, OH 45409-2698

Mailing address

1520 S Main St
Suite 3
Dayton, OH 45409-2698
Phone (937) 208-7240

Other identifiers 1

IdentifierTypeStateIssuer
2843347MedicaidOH

Other names 1

  • Greater Dayton Cardiothoracic and Vascular Surgeons 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
Health Specialists of Dayton Inc

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1285808543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092698",
            "telephone_number": "937-208-7240",
            "fax_number": "937-208-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092698",
            "telephone_number": "937-208-7240",
            "fax_number": "937-208-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SPECIALISTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH SPECIALISTS INC",
        "enumeration_date": "2008-04-17",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "DANIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "937-435-4263"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2843347",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Dayton Cardiothoracic and Vascular Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, 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.