Premier Health Specialists Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PREMIER HEALTH SPECIALISTS INC

Practice address

1 Wyoming St
Suite 4140
Dayton, OH 45409-2722

Phone

(937) 208-4110

Fax

(937) 208-6260

NPI assigned

Dec 21, 2010

Organization subpart

Yes

Parent organization

PREMIER HEALTH SPECIALISTS INCAs reported in NPPES

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

Authorized official

Name

Christopher Danis

Title

President/Ceo

Phone

(937) 435-4263

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miami Valley Womens Health Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

Premier Health Specialist Inc

Locations

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1972806578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE WYOMING ST",
            "address_2": "SUITE 4140",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-4110",
            "fax_number": "937-208-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "address_2": "SUITE 4140",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-4110",
            "fax_number": "937-208-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SPECIALISTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH SPECIALISTS INC",
        "enumeration_date": "2010-12-21",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "DANIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-435-4263"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3123159",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Valley Womens Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Health Specialists Inc
• Premier Health Specialists Inc
• Premier Health Specialists Inc
• Premier Health Specialists Inc
• Premier Health Specialists Inc
• Premier Health Specialists Inc
• Premier Health Urgent Care, Inc.
• Premier Hearing Healthcare Center, LLC
• Premier Heart Associates, Inc
• Premier Independent Quality Services

• All providers in Dayton, OH
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.