Active NPI
Samaritan Family Care Inc
- Surgery Physician
- Dayton, OH
National Provider Identifier
1861593550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SAMARITAN FAMILY CARE INC
- Practice address
- 9000 N Main St
Suite 233
Dayton, OH 45415-1180 - Phone
- (937) 832-9310
- Fax
- (937) 832-8613
- NPI assigned
- Sep 26, 2006
- Organization subpart
- Yes
- Parent organization
- SAMARITAN FAMILY CARE INC
NPPES NPI Registry
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) 208-8273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
9000 N Main St
Suite 233
Dayton, OH 45415-1180
Mailing address
9000 N Main St
Suite 233
Dayton, OH 45415-1180
Phone (937) 832-9310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0230977 | Medicaid | OH |
Other names 1
- Gem City Surgical Associates
National Provider Directory
National Provider Directory- Part of
- Samaritan Pediatrics SF
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383868800000",
"number": "1861593550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 N MAIN ST",
"address_2": "SUITE 233",
"city": "DAYTON",
"state": "OH",
"postal_code": "454151180",
"telephone_number": "937-832-9310",
"fax_number": "937-832-8613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 N MAIN ST",
"address_2": "SUITE 233",
"city": "DAYTON",
"state": "OH",
"postal_code": "454151180",
"telephone_number": "937-832-9310",
"fax_number": "937-832-8613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMARITAN FAMILY CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAMARITAN FAMILY CARE INC",
"enumeration_date": "2006-09-26",
"last_updated": "2013-11-08",
"status": "A",
"authorized_official_last_name": "PRUNIER",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "937-208-8273"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0230977",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gem City Surgical Associates",
"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 Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.