Samaritan Family Care Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SAMARITAN FAMILY CARE INC

Doing business as

North Dayton Internal Medicine

Practice address

80 E Woodbury Dr
Suite B
Dayton, OH 45415-2800

Phone

(937) 278-2303

Fax

(937) 278-2662

NPI assigned

Aug 13, 2012

Last updated

Jan 3, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

SAMARITAN FAMILY CARE INCAs reported in NPPES

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

Authorized official

Name

Kenneth Prunier

Title

President/Ceo

Phone

(937) 499-8213

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Dayton Internal Medicine Doing business as

Part of

Samaritan Family Care I

Locations

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1699022319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E WOODBURY DR",
            "address_2": "SUITE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152800",
            "telephone_number": "937-278-2303",
            "fax_number": "937-278-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E WOODBURY DR",
            "address_2": "SUITE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152800",
            "telephone_number": "937-278-2303",
            "fax_number": "937-278-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN FAMILY CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMARITAN FAMILY CARE INC",
        "enumeration_date": "2012-08-13",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "PRUNIER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-499-8213"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072145",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Dayton Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samaritan Family Care Inc (Samaritan North Family Physicians)
• Samaritan Family Care Inc (Samaritan Primary Care Physicians)
• Samaritan Family Care Inc (Premier Family Medicine)
• Samaritan Family Care Inc (Samaritan Hospitalist Group)
• Samaritan Family Care Inc (Englewood After Hours Care)
• Samaritan Family Care Inc (Northwest Dayton Physicians)
• Samaritan Family Care Inc (Needmore Road Primary Care)
• Samaritan Family Care Inc (Gem City Surgical Associates)
• Samaritan Family Care Inc. (North Dayton Rheumatology)
• Samaritan Family Care, Inc (Gem City Surgical Breast Care Center)

• Internal Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.