Active NPI
Premier Health Specialist, Inc
Doing business as Premier Gynecologic Oncology
- Gynecologic Oncology Physician
- Dayton, OH
National Provider Identifier
1760753180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- PREMIER HEALTH SPECIALIST, INC
- Doing business as
- Premier Gynecologic Oncology
- Practice address
- 1 Wyoming St
Berry BLDG, Ground FL, Ste B
Dayton, OH 45409-2722 - Phone
- (937) 208-2901
- Fax
- (937) 208-2014
- NPI assigned
- Jan 17, 2012
- Last updated
- Nov 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Danis, MD
- Title
- President / Ceo
- Phone
- (937) 499-8866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | NU | Primary |
Addresses
Primary practice location
1 Wyoming St
Berry BLDG, Ground FL, Ste B
Dayton, OH 45409-2722
Mailing address
1 Wyoming St
Berry BLDG, Ground Floor, Ste B
Dayton, OH 45409-2722
Phone (937) 208-8301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0081671 | Medicaid | OH |
Other names 1
- Premier Gynecologic Oncology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
1 Wyoming St
Ste B
Dayton, OH 45409
Phone (937) 208-2901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383782400000",
"number": "1760753180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"address_2": "BERRY BLDG, GROUND FLOOR, STE B",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722",
"telephone_number": "937-208-8301",
"fax_number": "937-208-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"address_2": "BERRY BLDG, GROUND FL, STE B",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722",
"telephone_number": "937-208-2901",
"fax_number": "937-208-2014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH SPECIALIST, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-17",
"last_updated": "2013-11-07",
"status": "A",
"authorized_official_last_name": "DANIS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "937-499-8866",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0081671",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Gynecologic Oncology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dayton, OH
- Premier Cardiothoracic and Vascular Surgeons Inc
- Premier Community Health (Premier Health Clinic at University of Dayton Student After Hours)
- Premier Community Health (Premier Occupational Health)
- Premier Health Pharmacy-MVHN
- Premier Health Specialist Inc (Premier Physical Medicine Associates)
- Premier Health Specialists Inc (Premier Orthopedics)
- Premier Health Specialists Inc (Ohio Eyecare Institute)
- Premier Health Specialists Inc (Premier Metabolic and Bariatric Associates)
- Premier Health Specialists Inc (Montgomery Orthopaedic Surgeons)
- Premier Health Specialists Inc (Miami Valley Surgery Associates)
Sources for this page
- 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.