Organization Active NPI

Pha Specialty LLC

  • Pulmonary Disease Physician
  • Alliance, OH
National Provider Identifier
1568198570
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PHA SPECIALTY LLC
Practice address
22792 Harrisburg Westville Rd
Alliance, OH 44601-9224
Phone
(330) 823-4000
NPI assigned
Aug 1, 2022
Organization subpart
Yes
Parent organization
PREMIER HEALTH ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Dr. Ashraf Ahmed, MDNPI 1710980941
Title
President
Phone
(330) 823-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

22792 Harrisburg Westville Rd
Alliance, OH 44601-9224

Mailing address

22792 Harrisburg Westville Rd
Alliance, OH 44601-9224
Phone (330) 823-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221024002184 OH Part B Supplier - Clinic/Group Practice 6406222918 Receives reassigned benefits from 1 practitioner
Practice locations: Alliance, OH; Canton, OH; Minerva, OH; Sebring, OH

National Provider Directory

National Provider Directory
Part of
Premier Health Associates Inc

Locations

22792 Harrisburg Westville Rd
Alliance, OH 44601
Phone (330) 823-4000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1568198570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22792 HARRISBURG WESTVILLE RD",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446019224",
            "telephone_number": "330-823-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22792 HARRISBURG WESTVILLE RD",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446019224",
            "telephone_number": "330-823-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHA SPECIALTY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH ASSOCIATES INC",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-823-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.