PRIMED PHYSICIANS
NPI 1023075330
Pediatrics in Beavercreek, OH

NPI Status: Active since April 28, 2006

Contact Information

2322 LAKEVIEW DR
BEAVERCREEK, OH
ZIP 45431
Phone: (937) 320-3848
Fax: (937) 320-3848

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  • Organization
  • Pediatrics
  • Accepts Insurance

About PRIMED PHYSICIANS

This page provides the complete NPI Profile along with additional information for Primed Physicians, a pediatrician established in Beavercreek, Ohio operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1023075330 assigned on April 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Primed Physicians operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Primed Physicians. The authorized official of this NPI record is Dr. Mark A Couch Md (President)

NPI
1023075330
Provider Legal Name
PREMIER INTEGRATED MEDICAL ASSOC LTD
Other Organization Name
PRIMED PHYSICIANS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2322 LAKEVIEW DR BEAVERCREEK, OH 45431
Location Phone
(937) 320-3848
Location Fax
(937) 320-3848
Mailing Address
25 MERCHANT ST STE 220 - ATTN CREDENTIALING CINCINNATI, OH 45246
Mailing Phone
(513) 533-1199
Mailing Fax
(937) 320-3848
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2006
Last Update Date
07-15-2019
Code Navigator

A pediatrician like Primed Physicians is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080A0000XAllopathic & Osteopathic Physicians

Pediatrics
Adolescent Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
  • Bronze 10 - HMO
  • Bronze 8 - HMO
  • Bronze 9 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARK A COUCH MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(937) 898-3600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CA2478OTHER (01)OHMEDICARE RR ID
2106232MEDICAID (05)OH 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023075330
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043071036
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 0 + 7 + 1 + 0 + 3 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1023075330 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104034008 HEATHER MARIA JACKSON D.O.
Individual
Family Medicine2322 LAKEVIEW DR
BEAVERCREEK, OH 45431
(937) 426-0106
1245297753PREMIER INTEGRATED MEDICAL ASSOC LTD
Organization
Family Medicine2322 LAKEVIEW DR
BEAVERCREEK, OH 45431
(937) 426-0106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023075330, enumerated in the NPI registry as an "organization" on April 28, 2006

The provider is located at 2322 Lakeview Dr Beavercreek, Oh 45431 and the phone number is (937) 320-3848

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: CareSource, Molina Healthcare, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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