Premier Surgical Institute LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PREMIER SURGICAL INSTITUTE LLC

Practice address

1303 Mattec Dr.
Loveland, OH 45140

Phone

(513) 454-7146

NPI assigned

Feb 15, 2022

Last updated

Feb 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Danko, MDNPI 1861654048

Title

Owner

Phone

(440) 221-1928

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497400790. Details of each certification follow.

• CCN 36C0001354 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 36C0001354

Legal name

Premier Surgical Institute LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 10, 2023

Last certification

Oct 20, 2023

Ownership / control type

Proprietary

Facility address

1303 Mattec Drive
Loveland, OH 45140

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Michael Donald Danko, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Loveland, OH
  • NPI 1861654048
  NPD Authorized official
• Mary Elizabeth Carman

  • Nurse Practitioner
  • Mount Orab, OH
  • NPI 1710764246
  NPD
• Kristen Ann Luebrecht, OTR

  • Occupational Therapist
  • Gahanna, OH
  • NPI 1255453783
  NPD
• Paul Andrew Siegwald, PA

  • Physician Assistant
  • Cincinnati, OH
  • NPI 1346909694
  NPD
• Shruti Amin, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Middletown, OH
  • NPI 1295224814
  NPD (past)
• Joseph K Wray, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Dayton, OH
  • NPI 1831582261
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1497400790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451400525",
            "telephone_number": "513-454-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MATTEC DR.",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "45140",
            "telephone_number": "513-454-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "DANKO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-221-1928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Ross Portmann, DC
• Faith Powers
• Phyllis Pratt
• Premier Pain Treatment Institute, LLC
• Premier Pain Treatment Institute, LLC
• Mary Ann Pritchard, LPN
• Prosperous Soul Counseling & Wellness LLC
• Trisha Purdin
• Quest Physical Therapy
• Quest Physical Therapy, LLC

• Ambulatory Surgical Clinic/Center in Loveland, OH
• Providers in Loveland, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.