Premier Health Specialists Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

PREMIER HEALTH SPECIALISTS INC

Doing business as

The Clinical Neuroscience Institute

Practice address

30 E Apple St
Suite 5254a
Dayton, OH 45409-2939

Phone

(937) 208-4200

Fax

(937) 208-4205

NPI assigned

Nov 15, 2012

Last updated

Nov 7, 2013By 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

Kenneth Prunier

Title

Ceo/President

Phone

(937) 499-8205

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Clinical Neuroscience Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

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.

• John M Miller, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dayton, OH
  • NPI 1801875877
  NPD
• Michael Colin Rymer, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Dayton, OH
  • NPI 1851573992
  NPD

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1609110824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST",
            "address_2": "SUITE 5254A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-4200",
            "fax_number": "937-208-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST",
            "address_2": "SUITE 5254A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-4200",
            "fax_number": "937-208-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "PRUNIER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "937-499-8205"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Clinical Neuroscience Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Health Specialists Inc (The Premier Heart Associates)
• Premier Health Specialists Inc (Miami Valley Cardiologists)
• Premier Health Specialists Inc (Hand and Reconstructive Surgeons and Associates)
• Premier Health Specialists Inc (Montgomery Orthopaedic Surgeons and Associates)
• Premier Health Specialists Inc (Advanced Obstetrical & Gynecological Care of South Dayton)
• Premier Health Specialists Inc (Ohio Eyecare Institute)
• Premier Health Specialists Inc (Advanced Ankle and Foot Specialists)
• Premier Health Specialists Inc (Neuro Interventional Specialists of Dayton)
• Premier Health Specialists Inc (Dayton Heart Center)
• Premier Health Specialists Inc (Premier Infectious Diseases)

• Neurological Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Neurological Surgery Physician in Ohio

• 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.