Organization Active NPI

Health Specialists of Dayton Inc

Doing business as Ranjit R Pullarkat MD Company

  • Trauma Surgery Physician
  • Dayton, OH
National Provider Identifier
1598717308
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
HEALTH SPECIALISTS OF DAYTON INC
Doing business as
Ranjit R Pullarkat MD Company
Practice address
3535 Salem Ave
Ste 201
Dayton, OH 45406-2645
Phone
(937) 274-4060
Fax
(937) 275-1750
NPI assigned
May 17, 2006
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH SPECIALISTS OF DAYTON INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Kenneth Prunier
Title
Ceo/President
Phone
(937) 208-8213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X NU Primary

Addresses

Primary practice location

3535 Salem Ave
Ste 201
Dayton, OH 45406-2645

Mailing address

3535 Salem Ave
Ste 201
Dayton, OH 45406-2645
Phone (937) 274-4060

Other identifiers 1

IdentifierTypeStateIssuer
2607889MedicaidOH

Other names 1

  • Ranjit R Pullarkat MD Company 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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1598717308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 SALEM AVE",
            "address_2": "STE 201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062645",
            "telephone_number": "937-274-4060",
            "fax_number": "937-275-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SALEM AVE",
            "address_2": "STE 201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062645",
            "telephone_number": "937-274-4060",
            "fax_number": "937-275-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SPECIALISTS OF DAYTON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH SPECIALISTS OF DAYTON INC",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "PRUNIER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "937-208-8213"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2607889",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ranjit R Pullarkat MD Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.