Organization Active NPI

Mvhe Inc

Doing business as University Medicine & Pediatrics

  • Pediatrics Physician
  • Dayton, OH
National Provider Identifier
1861445116
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MVHE INC
Doing business as
University Medicine & Pediatrics
Practice address
1 Elizabeth PL
NWG, Suite 500
Dayton, OH 45408-1445
Phone
(937) 443-0354
Fax
(937) 443-0478
NPI assigned
May 18, 2006
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MVHE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Kenneth Prunier
Title
Ceo/President
Phone
(937) 208-8213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1 Elizabeth PL
NWG, Suite 500
Dayton, OH 45408-1445

Mailing address

1 Elizabeth PL
NWG, Suite 500
Dayton, OH 45408-1445
Phone (937) 443-0354

Other identifiers 1

IdentifierTypeStateIssuer
0122110MedicaidOH

Other names 1

  • University Medicine & Pediatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000553 OH Part B Supplier - Clinic/Group Practice 9537066584 Receives reassigned benefits from 777 practitioners
47 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Franklin, OH; Huber Heights, OH; Jamestown, OH; Kettering, OH; Lebanon, OH; Liberty Township, OH; Middletown, OH; Monroe, OH…

Other NPIs on the same Medicare enrollment 47

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 47

National Provider Directory

National Provider Directory
Part of
Comprehensive Primary C

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1861445116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "NWG, SUITE 500",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081445",
            "telephone_number": "937-443-0354",
            "fax_number": "937-443-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "NWG, SUITE 500",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081445",
            "telephone_number": "937-443-0354",
            "fax_number": "937-443-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVHE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MVHE INC",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "PRUNIER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "937-208-8213"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122110",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Medicine & Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.

Verify at the official NPI Registry.