Premier Heart Associates, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PREMIER HEART ASSOCIATES, INC

Practice address

25 W Harding Rd
Springfield, OH 45504-1396

Phone

(937) 832-2425

Fax

(937) 832-9804

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George T Broderick Jr., MD

Title

President

Phone

(937) 832-2425

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Primier Heart Associate3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Heart Associates , Inc

  • Cardiovascular Disease Physician
  • New Bremen, OH
  • NPI 1811918659
  NPD tax ID
• Premier Heart Associates, Inc

  • Cardiovascular Disease Physician
  • Lima, OH
  • NPI 1770623340
  NPD tax ID

Locations

Practitioners 1

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

• Abdul Wase, MD

  • Clinical Cardiac Electrophysiology Physician
  • Dayton, OH
  • NPI 1306833363

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1861532434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "STE 101",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "938-832-2425",
            "fax_number": "937-832-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W HARDING RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041396",
            "telephone_number": "937-832-2425",
            "fax_number": "937-832-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEART ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-832-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2212117",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Pratt, LSW
• Bruce Welton Pratte, O.D.
• Jordan Prebys, LPCC
• Joseph Premanandan, MD
• Premier Community Health
• Premiere Chiropractic and Rehab
• Kathryn L Prendergast, PA
• Jessica Lynn Priser-Cox, RN
• Privacare LLC
• Project Woman

• Cardiovascular Disease Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.