NPIMap

Organization Active NPI

Premier Health Specialists Inc

Doing business as Premier OBGyn

  • Obstetrics & Gynecology Physician
  • Springboro, OH
National Provider Identifier
1558667261
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PREMIER HEALTH SPECIALISTS INC
Doing business as
Premier OBGyn
Practice address
630 N Main St
Suite 200
Springboro, OH 45066-7519
Phone
(937) 748-8516
NPI assigned
Jan 28, 2011
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 Danis, MDNPI 1487658993
Title
President/Ceo
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
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

630 N Main St
Suite 200
Springboro, OH 45066-7519

Mailing address

630 N Main St
Suite 200
Springboro, OH 45066-7519
Phone (937) 748-8516

Other identifiers 1

IdentifierTypeStateIssuer
3133602MedicaidOH

Other names 1

  • Premier OBGyn 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
Premierhealth

Locations

2400 Lakeview Dr
Ste 230
Beavercreek, OH 45431
Phone (937) 320-0630

2350 Miami Valley Dr
Ste 410
Centerville, OH 45459
Phone (937) 281-2370

30 E Apple St
#1480
Dayton, OH 45409
Phone (937) 208-3220

30 E Apple St
#6254
Dayton, OH 45409
Phone (937) 208-2554

9000 N Main St
Ste G-35
Englewood, OH 45415
Phone (937) 276-8320

5275 State Route 122
Ste 200
Franklin, OH 45005

200 Medical Center Dr
Ste 300
Middletown, OH 45005
Phone (513) 423-1211

200 Medical Center Dr
Ste 375
Middletown, OH 45005
Phone (513) 420-3773

Practitioners & affiliated clinicians

Practitioners 302

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.

View all 302

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1558667261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N MAIN ST",
            "address_2": "SUITE 200",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667519",
            "telephone_number": "937-748-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N MAIN ST",
            "address_2": "SUITE 200",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667519",
            "telephone_number": "937-748-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SPECIALISTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH SPECIALISTS INC",
        "enumeration_date": "2011-01-28",
        "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": "937-435-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3133602",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier OBGyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springboro, 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.