PREMIER HEALTH SPECIALISTS INC (NPI# 1902211287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902211287 |
Entity Type | Organization |
Organization Name | PREMIER HEALTH SPECIALISTS INC |
Other Organization Name | ADVANCED ANKLE AND FOOT SPECIALISTS |
Practice Address |
1 Wyoming St Ste 3115 Dayton OH 45409-2722 |
Practice Telephone | 9372086745 |
Practice Fax Number | 9372086746 |
Mailing Telephone | 9372086745 |
Mailing Fax Number | 9372086746 |
Enumeration Date | 2014-06-25 |
Last Update Date | 2014-06-25 |
Authorized Official Name | KENNETH PRUNIER (CEO/PRESIDENT) |
Authorized Official Telephone | 9374998205 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
Advanced Ankle and Foot Specialists | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770022170 | Premier Health Specialists Inc | Durable Medical Equipment & Medical Supplies | 1520 S Main St Ste 210, Dayton, OH 45409-2643 | 2017-02-17 |
1891076535 | Premier Health Specialists Inc | Psychiatry & Neurology | 1049 Summit Dr, Middletown, OH 45042-3464 | 2011-09-08 |
1023556420 | Premier Health Specialists Inc | Durable Medical Equipment & Medical Supplies | 2350 Miami Valley Dr Ste 320a, Dayton, OH 45459-4778 | 2017-02-06 |
1356681993 | Premier Health Specialists Inc | Podiatrist | 136 S Ludlow St, First Floor, Dayton, OH 45402-1813 | 2013-02-19 |
1740528843 | Premier Health Specialists Inc | Podiatrist | 2 Prestige Pl, Ste 210, Miamisburg, OH 45342-3770 | 2013-01-24 |
1710223763 | Premier Health Specialists Inc | Ophthalmology | 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409-1962 | 2012-12-19 |
1386980522 | Premier Health Specialists Inc | Clinical Nurse Specialist | 1 Wyoming St, Suite 4490, Dayton, OH 45409-2722 | 2012-12-17 |
1033455373 | Premier Health Specialists Inc | Ophthalmology | 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409-1962 | 2012-12-13 |
1609110824 | Premier Health Specialists Inc | Neurological Surgery | 30 E Apple St, Suite 5254a, Dayton, OH 45409-2939 | 2012-11-15 |
1992056113 | Premier Health Specialists Inc | Internal Medicine | 2200 Philadelphia Dr, 3rd Fl, Dayton, OH 45406-1840 | 2012-09-27 |
Street Address |
1 WYOMING ST STE 3115 |
City | DAYTON |
State | OH |
Zip Code | 45409-2722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235134180 | Christopher Scott Croom | Obstetrics & Gynecology | 1 Wyoming St, Berry Bldg, Ground Fl, Dayton, OH 45409-2722 | 2005-06-16 |
1902412133 | Dustin Logan Warne | Registered Nurse | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-22 |
1356956965 | Yeri Noh | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-10 |
1457965642 | Amanda Danielle Boykin | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-03 |
1386257046 | Daryl Brown | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2711 | 2020-08-24 |
1518578624 | Mary Goeller | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-12 |
1033720545 | Emily Newport | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-10 |
1447869433 | David Mark Peters Jr. | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-27 |
1376151787 | Zachary Sahadak | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
1093323339 | Mckenzie Shenk | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
Find all providers in zip 45409 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043617020 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 5925 N. Main St., Suite D, Dayton, OH 45415-3142 | 2014-11-19 |
1952589798 | Allen C Guehl Dpm Inc | Podiatrist | 2801 Linden Ave, Dayton, OH 45410-3046 | 2008-02-04 |
1891995718 | Belinda Marie Chan | Podiatrist | 5925 N Main St Ste D, Dayton, OH 45415-3142 | 2007-07-19 |
1992715767 | Dixie A. Dooley, Dpm, Inc. | Podiatrist | 380 Regency Ridge Dr, Dayton, OH 45459-4251 | 2006-08-08 |
1780618363 | Gary J Labianco | Podiatrist | 5676 Far Hills Ave, Dayton, OH 45429-2206 | 2006-07-10 |
1003800525 | Peter H Mason | Podiatrist | 1632 Stafford Springs Pl, Dayton, OH 45458-6033 | 2005-09-12 |
1699767269 | Michael P. Regan | Podiatrist | 2222 Philadelphia Drive, Ste 200, Dayton, OH 45406 | 2005-08-18 |
1689974859 | Community Medical Specialists | Podiatrist | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2010-10-22 |
1619285160 | Community Medical Specialists | Podiatrist | 5925 N Main St, St D, Dayton, OH 45415-3153 | 2010-09-17 |
1821224742 | Judy Kleman | Podiatrist | 5925 N Main St Ste D, Dayton, OH 45415-3142 | 2009-06-05 |
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.