NPIMap

Organization Active NPI

Premier Integrated Medical Associates LTD

  • Clinical Cardiac Electrophysiology Physician
  • Hamilton, OH
National Provider Identifier
1679985279
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
35081090 Issued in OH
Legal business name
PREMIER INTEGRATED MEDICAL ASSOCIATES LTD
Practice address
1010 Cereal Ave
Ste 207
Hamilton, OH 45013-2784
Phone
(513) 867-3331
Fax
(513) 867-2667
NPI assigned
May 30, 2014
Organization subpart
Yes
Parent organization
PREMIER INTEGRATED MEDICAL ASSOCIATES LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Authorized official

Name
Mark Couch, MDNPI 1548224314
Title
President
Phone
(513) 533-1199

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
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X 35081090 OH Primary

Addresses

Primary practice location

1010 Cereal Ave
Ste 207
Hamilton, OH 45013-2784

Mailing address

4700 Smith Rd
Ste a
Cincinnati, OH 45212-2787
Phone (513) 533-1199

Other names 1

  • PriMed Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Integrated Medi7 organizations share this tax ID, including this one
Part of
Premier Integrated Medi

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1679985279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SMITH RD",
            "address_2": "STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122787",
            "telephone_number": "513-533-1199",
            "fax_number": "513-533-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE",
            "address_2": "STE 207",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132784",
            "telephone_number": "513-867-3331",
            "fax_number": "513-867-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTEGRATED MEDICAL ASSOCIATES LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER INTEGRATED MEDICAL ASSOCIATES LTD",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-533-1199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35081090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PriMed Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.