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PREMISE HEALTH OF INDIANA MEDICAL PC
NPI 1033521752
Clinic/Center - Multi-Specialty in Dayton, IN

Active since May 29, 2014CLIA Certified · 2 labs
5980 STATE ROAD 38 EAST, DAYTON, IN 47941(765) 588-5667(765) 449-8408 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Aug 25, 2022, Sep 8, 2020 (3 updates tracked since 2020).

About Premise Health Of Indiana Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMISE HEALTH OF INDIANA MEDICAL PC (NPI 1033521752), doing business as Sia Health And Wellness Center, is a healthcare organization registered as a multi-specialty in Dayton, Indiana and active in the NPI registry since May 2014. The organization holds 2 active CLIA laboratory certificates and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1033521752
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF INDIANA MEDICAL PC
Location Address5980 STATE ROAD 38 EASTDayton, IN 47941-0000
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(765) 588-5667
Fax(765) 449-8408
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateMay 29, 2014
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1033521752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
5980 STATE ROAD 38 EAST, Dayton, IN 47941
Open in Google Maps ↗

Other Names 1

Doing Business AsSia Health And Wellness Center

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2080052

Premise Health Of Indiana Medical, PC · Dayton, IN
Active · expires Jun 29, 2028
CLIA Number15D2080052
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorSean Sharma
Laboratory Phone(765) 588-5667
Laboratory LocationPremise Health Of Indiana Medical, PC5980 State Road 38 East, Dayton, IN 47941
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2253690

Premise Health Of Indiana Medical, PC · Lafayette, IN
Active · expires Feb 22, 2028
CLIA Number15D2253690
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorJeff Henson
Laboratory Phone(765) 588-5667
Laboratory LocationPremise Health Of Indiana Medical, PC5500 State Road 38 East, Lafayette, IN 47905
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHON CHRISTIANSEN PA
Physician Assistant
5980 STATE ROAD 38 EAST
LAFAYETTE, IN 47941
Tippecanoe County (765) 448-8000
DR. CHRISTOPHER G CHRISTMAS PHD, LMHC
Counselor (Mental Health)
5980 STATE ROAD 38 EAST
DAYTON, IN 47941
Tippecanoe County (657) 588-5667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of Indiana Medical PC's NPI number?

The NPI number for Premise Health Of Indiana Medical PC is 1033521752. It was assigned to this organization in the NPPES registry on May 29, 2014. The provider is doing business as SIA Health and Wellness Center.

Where is Premise Health Of Indiana Medical PC located?

Premise Health Of Indiana Medical PC is located at 5980 State Road 38 East, Dayton, IN 47941. The listed phone number is (765) 588-5667.

What is Premise Health Of Indiana Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Indiana Medical PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premise Health Of Indiana Medical PC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.