Organization Active NPI

Health Specialists of Dayton Inc

  • Surgery Physician
  • Franklin, OH
National Provider Identifier
1396986493
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HEALTH SPECIALISTS OF DAYTON INC
Practice address
200 Medical Center Dr
4TH Floor
Franklin, OH 45005-5200
Phone
(513) 425-7110
Fax
(513) 425-7112
NPI assigned
Mar 19, 2009
Organization subpart
Yes
Parent organization
HEALTH SPECIALISTS OF DAYTON INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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) 435-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

200 Medical Center Dr
4TH Floor
Franklin, OH 45005-5200

Mailing address

200 Medical Center Dr
4TH Floor
Franklin, OH 45005-5200
Phone (513) 425-7110

Other names 1

  • Premier Breast Surgeons of Southwest Ohio 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

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1396986493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "4TH FLOOR",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450055200",
            "telephone_number": "513-425-7110",
            "fax_number": "513-425-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "4TH FLOOR",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450055200",
            "telephone_number": "513-425-7110",
            "fax_number": "513-425-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SPECIALISTS OF DAYTON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH SPECIALISTS OF DAYTON INC",
        "enumeration_date": "2009-03-19",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "DANIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-435-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Breast Surgeons of Southwest Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.