PRIMED PHYSICIANS – NPI #1043277437
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

PRIMED PHYSICIANS is a provider located in KETTERING, OH. NPPES has assigned the NPI number 1043277437 to PRIMED PHYSICIANS on April 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRIMED PHYSICIANS” is a dba name, the actual legal business name for this organization is PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 7 years ago on Apr 26, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIMED PHYSICIANS below.

NPI Profile for
PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD

NPI Number
1043277437
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD
Doing Business As (dba): PRIMED PHYSICIANS
Primary location
540 LINCOLN PARK BLVD
SUITE 200
KETTERING, OH 45429-6401
Phone: (937) 298-8058 Fax: (937) 298-5638
Mailing address
25 MERCHANT ST
STE 220 - ATTN CREDENTIALING
CINCINNATI, OH 45246-3740
Phone: (513) 533-1199 Fax: (513) 645-9827
Organization Subpart
No
Authorized Official
MARK COUCH
PRESIDENT
Phone: (937) 898-3600
Updated
Identifiers

Identifiers for PRIMED PHYSICIANS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH3005198
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.