PREMIER INTEGRATED MEDICAL ASSOC LTD (NPI# 1811953052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811953052 |
| Entity Type | Organization |
| Organization Name | PREMIER INTEGRATED MEDICAL ASSOC LTD |
| Other Organization Name | PRIMED PHYSICIANS |
| Practice Address |
1152 W 3rd St Dayton OH 45402-6812 |
| Mailing Address |
25 Merchant St Ste 220 - Attn Credentialing Cincinnati OH 45246-3740 |
| Practice Telephone | 9372683483 |
| Practice Fax Number | 9372681884 |
| Mailing Telephone | 5135331199 |
| Mailing Fax Number | 5136459827 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | DR. MARK A COUCH (PRESIDENT) |
| Authorized Official Telephone | 9378983600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RR GROUP NUMBER | CA2478 | 01 | |
| OH | 2121948 | 05 |
| Other Name | Type Code |
|---|---|
| PriMed Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013975465 | Premier Integrated Medical Assoc Ltd | Family Medicine | 6520 Acro Court, Centerville, OH 45459 | 2006-05-03 |
| 1801853262 | Premier Integrated Medical Assoc Ltd | Pediatrics | 243 W Central Ave, Springboro, OH 45066-1103 | 2006-04-28 |
| 1336106798 | Premier Integrated Medical Assoc Ltd | Family Medicine | 896 S Main Street, Centerville, OH 45458-3439 | 2006-04-28 |
| 1982660189 | Premier Integrated Medical Assoc Ltd | Family Medicine | 1343 Woodman Dr, Dayton, OH 45432-3470 | 2006-04-25 |
| 1285690339 | Premier Integrated Medical Assoc Ltd | Pediatrics | 1900 Composite Dr, Kettering, OH 45420-1475 | 2006-04-25 |
| 1447218631 | Premier Integrated Medical Assoc Ltd | Pediatrics | 6520 Acro Court, Centerville, OH 45459 | 2006-05-04 |
| 1861450363 | Premier Integrated Medical Assoc Ltd | Pediatrics | 5250 Far Hills Ave, Kettering, OH 45429-2382 | 2006-05-03 |
| 1750349551 | Premier Integrated Medical Assoc Ltd | Internal Medicine | 540 Lincoln Park Blvd, Suite 200, Kettering, OH 45429-6401 | 2006-05-02 |
| 1417915224 | Premier Integrated Medical Assoc Ltd | Internal Medicine | 540 Lincoln Park Blvd, Suite 390, Kettering, OH 45429-6401 | 2006-05-02 |
| 1578521449 | Premier Integrated Medical Assoc Ltd | Internal Medicine | 540 Lincoln Park Blvd, Suite 200, Kettering, OH 45429-6401 | 2006-05-02 |
| Street Address |
1152 W 3RD ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45402-6812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| Find all providers in zip 45402 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616891 | Nicole Elizabeth Miller | Family Medicine | 7282 Chateauroux Dr Apt A, Dayton, OH 45459-5382 | 2019-12-18 |
| 1770095382 | Nancy Louise Hall | Family Medicine | 1 Elizabeth Pl Ste 260, Dayton, OH 45417-3445 | 2017-11-05 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1730519059 | Medstaffpc | Family Medicine | 119 1/2 Bryan St, Dayton, TX 77535-2661 | 2013-11-22 |
| 1962844480 | Claire Eleanore Cappel | Family Medicine | 4266 Upham Rd, Dayton, OH 45429-1620 | 2013-07-25 |
| 1851662092 | New Phoenix | Family Medicine | 11161 Ashbury Meadows Dr, Dayton, OH 45458-6403 | 2012-01-19 |
| 1700165081 | Torben Svendsen | Family Medicine | 7794 Rhea County Hwy Ste 102, Dayton, TN 37321-5981 | 2011-08-04 |
| 1104124221 | Kerri Lyn Gibson | Family Medicine | 4100 W 3rd St Bldg 340, Dayton, OH 45428-9000 | 2011-03-14 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.