Active NPI
Premier Health Specialists Inc
Doing business as Premier Sports Medicine
- Sports Medicine (Family Medicine) Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- Legal business name
- PREMIER HEALTH SPECIALISTS INC
- Doing business as
- Premier Sports Medicine
- Practice address
- 2350 Miami Valley Dr
Ste 320
Dayton, OH 45459-4778 - Phone
- (937) 438-4477
- NPI assigned
- Dec 9, 2011
- Last updated
- Nov 7, 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) 499-8866
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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | Primary |
Addresses
Primary practice location
2350 Miami Valley Dr
Ste 320
Dayton, OH 45459-4778
Mailing address
2350 Miami Valley Dr
Ste 320
Dayton, OH 45459-4778
Phone (937) 438-4477
Other names 1
- Premier Sports Medicine
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
- Premier Health Specialist Inc
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": "1323388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383782400000",
"number": "1326316993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 MIAMI VALLEY DR",
"address_2": "STE 320",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594778",
"telephone_number": "937-438-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 MIAMI VALLEY DR",
"address_2": "STE 320",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594778",
"telephone_number": "937-438-4477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH SPECIALISTS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREMIER HEALTH SPECIALISTS INC",
"enumeration_date": "2011-12-09",
"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": "937-499-8866",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dayton, OH
- Premier Health Specialists Inc (Hand and Reconstructive Surgeons and Associates)
- Premier Health Specialists Inc (Comprehensive Burn and Wound Specialists)
- 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 Foot Specialists)
- Premier Health Specialists Inc (Miami Valley Palliative Care Program)
- Premier Health Specialists Inc (The Premier Heart Associates)
- Premier Health Specialists Inc (Miami Valley Cardiologists)
- Premier Health Specialists Inc (Hand and Reconstructive Surgeons and Associates)
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.