Premier Injury Medicine, LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

35057517 Issued in OH

Legal business name

PREMIER INJURY MEDICINE, LLC

Practice address

1430 S High St
Suite C
Columbus, OH 43207-1045

Phone

(614) 444-5340

Fax

(614) 444-5342

NPI assigned

Apr 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Robert Santiago, M.D.NPI 1720121213

Title

President

Phone

(614) 570-9659

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Santiago, M.D.

  • General Practice Physician
  • Galion, OH
  • NPI 1720121213
  NPD (past) Authorized official
• Alesha Densel, NP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1255704870
  NPD (past)
• Sandy Pham, DC

  • Chiropractor
  • Westerville, OH
  • NPI 1780140665
  NPD (past)

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1851755052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 GLEN VILLAGE CT",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659677",
            "telephone_number": "614-431-8869",
            "fax_number": "614-431-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S HIGH ST",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071045",
            "telephone_number": "614-444-5340",
            "fax_number": "614-444-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INJURY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-570-9659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "OH",
            "license": "35057517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "581025142-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICLA LICENSE",
            "identifier": "35057517",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0759362",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Home Health Care LLC
• Premier Home Health Services LLC
• Premier Injury and Health Center LLC
• Premier Injury Centers
• Premier Injury Medical Services, LLC
• Premier Internal Medicine LLC
• Premier Interventional Pain of Ohio LLC
• Premier Medical Care, LLC
• Premier Medical Care, LLC
• Premier Medical Care, LLC

• Occupational Medicine Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Occupational Medicine Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.