Organization Active NPI

Premier Physicians Centers, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Westlake, OH
National Provider Identifier
1801300314
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER PHYSICIANS CENTERS, INC.
Practice address
805 Columbia Rd Ste 101
Westlake, OH 44145-1461
Phone
(216) 227-2194
Fax
(216) 227-2196
NPI assigned
Nov 20, 2017
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Jeff Dybiec
Title
Cfo
Phone
(440) 895-5036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

805 Columbia Rd Ste 101
Westlake, OH 44145-1461

Mailing address

24651 Center Ridge Rd Ste 350
Westlake, OH 44145-5627
Phone (440) 895-5056

Other identifiers 1

IdentifierTypeStateIssuer
0119204MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1801300314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24651 CENTER RIDGE RD STE 350",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455627",
            "telephone_number": "440-895-5056",
            "fax_number": "440-895-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 COLUMBIA RD STE 101",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451461",
            "telephone_number": "216-227-2194",
            "fax_number": "216-227-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICIANS CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DYBIEC",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "440-895-5036"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119204",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.