PREMIER PHYSICIANS CENTERS, INC (NPI# 1942483433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942483433 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICIANS CENTERS, INC |
| Practice Address |
25200 Center Ridge Rd Suite 3100 Westlake OH 44145-4141 |
| Mailing Address |
24500 Center Ridge Rd Ste 375 Westlake OH 44145-5631 |
| Practice Telephone | 4403314559 |
| Practice Fax Number | 4403332935 |
| Mailing Telephone | 4408955056 |
| Mailing Fax Number | 4403332935 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | MR. DICK FINTZ (INTERIUM CEO) |
| Authorized Official Telephone | 4408955056 |
| Is Organization Subpart | Y |
| Parent Organization Name | PREMIER PHYSICIANS CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0791AS | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP RR MEDICARE | 4511 | 01 | |
| ASC NPI GROUP # | 1942483433 | 01 | |
| OH | 2040482 | 05 | |
| ASC GROUP MEDICARE # | 3610861 | 01 | |
| RAILROAD MEDICARE GROUP # | 490003414 | 01 | |
| GROUP IND DIAGNOSTICS LAB | D368301 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396928883 | Premier Physicians Centers, Inc | Clinical Medical Laboratory | 15644 Madison Ave, Suite 218, Lakewood, OH 44107-5622 | 2007-12-07 |
| Street Address |
25200 CENTER RIDGE RD SUITE 3100 |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213380 | Fares Raslan | Anesthesiology | 25200 Center Ridge Rd, Suite #3100, Westlake, OH 44145-4141 | 2005-08-23 |
| 1003479288 | Advanced Womens Health and Surgery LLC | Obstetrics & Gynecology | 25200 Center Ridge Rd, Westlake, OH 44145-4141 | 2019-04-15 |
| 1780039446 | Sara Klem | Nurse Practitioner | 25200 Center Ridge Rd, Suite 2600, Westlake, OH 44145-4141 | 2016-05-02 |
| 1659742302 | Carol Loreen Kelly | Nurse Practitioner | 25200 Center Ridge Rd, Suite 2300, Westlake, OH 44145-4141 | 2015-10-07 |
| 1174923304 | Heather Clark-wise | Nurse Practitioner | 25200 Center Ridge Rd, Suite 2600, Westlake, OH 44145-4141 | 2014-08-25 |
| 1871924944 | Premier Physicians Centers Inc | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Suite 2400, Westlake, OH 44145-4141 | 2013-11-27 |
| 1144661984 | Jessica D. Mitchell | Nurse Practitioner | 25200 Center Ridge Rd, Suite 3400, Westlake, OH 44145-4141 | 2013-07-09 |
| 1194036301 | Lisa M Overton | Physical Therapist | 25200 Center Ridge Rd, Suite 1400, Westlake, OH 44145-4141 | 2010-06-23 |
| 1013237015 | Premier Physicians Centers Inc | Eyewear Supplier (Equipment, not the service) | 25200 Center Ridge Rd, Suite 1200, Westlake, OH 44145-4141 | 2010-06-02 |
| 1538495130 | Adriana Raisa Krywiak | Podiatrist | 25200 Center Ridge Rd, Suite 2400, Westlake, OH 44145-4141 | 2009-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356646525 | Taufeeq Surgery Center | Clinic/Center | 27991 Center Ridge Rd, Westlake, OH 44145-3902 | 2011-01-20 |
| 1790798668 | University Hospitals Management Services Organization Inc | Clinic/Center | 960 Clague Rd, Suite 2200, Westlake, OH 44145-1582 | 2006-08-14 |
| 1558769034 | Sonya Mertz | Clinic/Center | 850 Columbia Rd, Westlake, OH 44145-1493 | 2014-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492170 | Mercy Health Boardman Surgery | Clinic/Center | 4147 Westford Pl, Canfield, OH 44406-8086 | 2020-09-21 |
| 1851904445 | The Good Samaritan Hospital of Cincinnati, Ohio | Clinic/Center | 538 Oak St Ste 100, Cincinnati, OH 45219-2554 | 2020-08-25 |
| 1952912552 | The Surgery Center of North Central Ohio LLC | Clinic/Center | 1 Emerald Pkwy, Norwalk, OH 44857-2671 | 2020-08-17 |
| 1295344026 | West Chester Surgical Suites, LLC | Clinic/Center | 8742-8744 Union Centre Blvd, West Chester, OH 45069-4876 | 2020-07-28 |
| 1194341768 | Wellington Specialty Surgery Center, LLC | Clinic/Center | 4355 Ferguson Dr Ste 190, Cincinnati, OH 45245-5137 | 2020-06-19 |
| 1902431646 | Central Ohio Endoscopy Center, LLC | Clinic/Center | 430 Altair Pkwy Ste 120, Westerville, OH 43082-7647 | 2020-03-03 |
| 1568094399 | The Surgery Center of Southwest Ohio, LLC | Clinic/Center | 2210 Arbor Blvd Ste 100, Moraine, OH 45439-1506 | 2020-02-10 |
| 1013565175 | David B Schwartz Md, LLC | Clinic/Center | 2123 Auburn Ave Ste 320, Cincinnati, OH 45219-2906 | 2019-08-30 |
| 1801457478 | Dialysis Access Center, LLC | Clinic/Center | 8423 Market St Ste 210, Boardman, OH 44512-6778 | 2019-06-25 |
| 1750948873 | Erie Shores Surgery Center LLC | Clinic/Center | 2800 Hayes Ave Bldg E, Sandusky, OH 44870-7255 | 2019-05-23 |
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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.