Organization Active NPI

Health Specialists of Dayton Inc

  • Obstetrics & Gynecology Physician
  • Dayton, OH
National Provider Identifier
1639124175
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HEALTH SPECIALISTS OF DAYTON INC
Practice address
160 Wyoming St
Dayton, OH 45409-2740
Phone
(937) 224-8890
Fax
(937) 224-0140
NPI assigned
May 23, 2006
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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

160 Wyoming St
Dayton, OH 45409-2740

Mailing address

160 Wyoming St
Dayton, OH 45409-2740
Phone (937) 224-8890

Other identifiers 1

IdentifierTypeStateIssuer
2585135MedicaidOH

Other names 1

  • Nam X. Nguyen MD Co 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
Premier Health Specialist Inc

Locations

160 Wyoming St
Dayton, OH 45409
Phone (937) 208-6137

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1639124175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092740",
            "telephone_number": "937-224-8890",
            "fax_number": "937-224-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092740",
            "telephone_number": "937-224-8890",
            "fax_number": "937-224-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SPECIALISTS OF DAYTON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH SPECIALISTS OF DAYTON INC",
        "enumeration_date": "2006-05-23",
        "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": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2585135",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nam X. Nguyen MD Co",
            "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.