Active NPI
Premier Health Specialists Inc
Doing business as Samaritan Infectious Disease
- Infectious Disease Physician
- Dayton, OH
National Provider Identifier
1992056113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- PREMIER HEALTH SPECIALISTS INC
- Doing business as
- Samaritan Infectious Disease
- Practice address
- 2200 Philadelphia Dr
3Rd FL
Dayton, OH 45406-1840 - Phone
- (937) 208-8885
- Fax
- (937) 208-8895
- NPI assigned
- Sep 27, 2012
- Last updated
- Nov 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Danis, MD
- Title
- Ceo/President
- Phone
- (937) 499-8866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
2200 Philadelphia Dr
3Rd FL
Dayton, OH 45406-1840
Mailing address
2200 Philadelphia Dr
3Rd FL
Dayton, OH 45406-1840
Phone (937) 208-8885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0081671 | Medicaid | OH |
Other names 1
- Samaritan Infectious Disease
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050610000010 | OH | Part B Supplier - Clinic/Group Practice | 5597708594 |
Receives reassigned benefits from 938 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Infectious Disease Physician
- Dayton, OH
- NPI 1629034962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383782400000",
"number": "1992056113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 PHILADELPHIA DR",
"address_2": "3RD FL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454061840",
"telephone_number": "937-208-8885",
"fax_number": "937-208-8895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PHILADELPHIA DR",
"address_2": "3RD FL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454061840",
"telephone_number": "937-208-8885",
"fax_number": "937-208-8895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH SPECIALISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-27",
"last_updated": "2013-11-07",
"status": "A",
"authorized_official_last_name": "DANIS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "937-499-8866",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0081671",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Samaritan Infectious Disease",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dayton, OH
- Premier Health Specialists Inc (Premier Infectious Diseases)
- Premier Health Specialists Inc (Cardiothoracic Surgery Associates)
- Premier Health Specialists Inc (Advanced Ankle and Foot Specialists)
- Premier Health Specialists Inc (Perinatal Partners)
- Premier Health Specialists Inc (Miami Valley Womens Health)
- Premier Health Urgent Care, Inc.
- Premier Hearing Healthcare Center, LLC
- Premier Heart Associates, Inc
- Premier Independent Quality Services
- Premier Integrated Medical Assoc LTD (PriMed Physicians)
Sources for this page
- 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.