PRIMED NORTHWEST DAYTON PEDS – NPI #1790749307
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PRIMED NORTHWEST DAYTON PEDS is a provider located in ENGLEWOOD, OH. NPPES has assigned the NPI number 1790749307 to PRIMED NORTHWEST DAYTON PEDS on April 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRIMED NORTHWEST DAYTON PEDS” 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 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 10 years ago on Mar 11, 2016. 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 NORTHWEST DAYTON PEDS below.

NPI Profile for
PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD

NPI Number
1790749307
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 NORTHWEST DAYTON PEDS
Primary location
120 W WENGER RD
ENGLEWOOD, OH 45322-2762
Phone: (937) 836-9921 Fax: (937) 836-1298
Mailing address
25 MERCHANT ST
STE. 220
CINCINNATI, OH 45246-3700
Phone: (513) 533-6507 Fax: (513) 645-9767
Organization Subpart
No
Authorized Official
GERALD MOLFENTER
PRESIDENT
Phone: (937) 836-9921
Updated
Identifiers

Identifiers for PRIMED NORTHWEST DAYTON PEDS

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
MEDICAIDOH2080948
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
208000000X
- Pediatrics (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.