Premier Integrated Medical Assoc Ltd
NPI 1023075330ActiveOrganization· Pediatrics· Beavercreek, OH
Pediatrics in Beavercreek, Ohio, registered in NPPES in April 2006. The authorized official on file is Mark A. Couch, MD, President.
Overview
| NPI | 1023075330 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 28, 2006 |
| Last updated in NPPES | Jul 15, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Pediatrics, Adolescent Medicine | 2080A0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pediatrics providers in Beavercreek
- 1366719189
- 1174792584
- 1336106111
- 1841420742
- 1265774798
- 1023464369
- 1033288220
- 1154364677
- 1780640342
- 1578204475
- 1912993882
- 1437736477