Active NPI
Premier Health Specialists Inc
Doing business as OBGyn of Greene County
- Obstetrics & Gynecology Physician
- Xenia, OH
National Provider Identifier
1558659300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- PREMIER HEALTH SPECIALISTS INC
- Doing business as
- OBGyn of Greene County
- Practice address
- 121 S Progress Dr
Xenia, OH 45385-2673 - Phone
- (937) 376-9731
- Fax
- (937) 376-5521
- NPI assigned
- Jul 14, 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) 435-4623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
121 S Progress Dr
Xenia, OH 45385-2673
Mailing address
121 S Progress Dr
Xenia, OH 45385-2673
Phone (937) 376-9731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0053203 | Medicaid | OH |
Other names 1
- OBGyn of Greene County
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
- Health Specialists of Dayton Inc
Locations
121 S Progress Dr
Xenia, OH 45385
Phone (937) 376-8336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383782400000",
"number": "1558659300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S PROGRESS DR",
"city": "XENIA",
"state": "OH",
"postal_code": "453852673",
"telephone_number": "937-376-9731",
"fax_number": "937-376-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S PROGRESS DR",
"city": "XENIA",
"state": "OH",
"postal_code": "453852673",
"telephone_number": "937-376-9731",
"fax_number": "937-376-5521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH SPECIALISTS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREMIER HEALTH SPECIALISTS INC",
"enumeration_date": "2011-07-14",
"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": "937-435-4623",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0053203",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OBGyn of Greene County",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Xenia, 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.