NPIMap

Organization Active NPI

Samaritan Emergency Corp

  • Emergency Medicine Physician
  • Dayton, OH
National Provider Identifier
1922084136
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
SAMARITAN EMERGENCY CORP
Practice address
2222 Philadelphia Dr
Dayton, OH 45406-1813
Phone
(937) 276-8311
Fax
(937) 276-8217
NPI assigned
Dec 20, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Richard T. Garrison, MD
Title
V. Pres
Phone
(937) 436-4658

Practitioners 197

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

View all 197

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X OH Primary

Addresses

NPPES NPI Registry

Primary practice location

2222 Philadelphia Dr
Dayton, OH 45406-1813

Mailing address

20 Prestige PLZ
Suite 100
Miamisburg, OH 45342-5354
Phone (937) 436-4658

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0735664MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2009.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1922084136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PRESTIGE PLZ",
            "address_2": "SUITE 100",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425354",
            "telephone_number": "937-436-4658",
            "fax_number": "937-436-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 PHILADELPHIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061813",
            "telephone_number": "937-276-8311",
            "fax_number": "937-276-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN EMERGENCY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "V. PRES",
        "authorized_official_telephone_number": "937-436-4658",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0735664",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 10, 2009; 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.