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PREMISE HEALTH OF OHIO MEDICAL PA
NPI 1851269856
Clinic/Center - Multi-Specialty in Dayton, OH

Active since October 29, 2025CLIA 36D2121352 · Waiver
1222 S PATTERSON BLVD STE 120, DAYTON, OH 45402(937) 701-0099 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premise Health Of Ohio Medical Pa NPPES

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

PREMISE HEALTH OF OHIO MEDICAL PA (NPI 1851269856) is a healthcare organization registered as a multi-specialty in Dayton, Ohio and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1851269856
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF OHIO MEDICAL PA
Location Address1222 S PATTERSON BLVD STE 120Dayton, OH 45402-2643
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(937) 701-0099
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateOctober 29, 2025
Last NPPES UpdateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1851269856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1222 S PATTERSON BLVD STE 120, Dayton, OH 45402
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CLIA Laboratory Certificates CMS CLIA

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 36D2121352

Premise Health Of Ohio Medical, P A · Dayton, OH
Active · expires Nov 2, 2026
CLIA Number36D2121352
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorDawn Murray
Laboratory Phone(937) 701-0099
Laboratory LocationPremise Health Of Ohio Medical, P A1222 South Patterson Blvd, Suite 120, Dayton, OH 45402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

JAMES T LUTZ M.D.
Preventive Medicine (Occupational Medicine)
1222 S PATTERSON BLVD STE 120
DAYTON, OH 45402
Montgomery County (937) 701-0099
MAX LIVADA LPCC
Counselor (Professional)
1222 S PATTERSON BLVD STE 120
DAYTON, OH 45402
Montgomery County (937) 288-3730
SIERRA D HAMILTON
Student in an Organized Health Care Education/Training Program
1222 S PATTERSON BLVD STE 120
DAYTON, OH 45402
Montgomery County (937) 701-0099

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 Ohio Medical PA's NPI number?

The NPI number for Premise Health Of Ohio Medical PA is 1851269856. It was assigned to this organization in the NPPES registry on October 29, 2025.

Where is Premise Health Of Ohio Medical PA located?

Premise Health Of Ohio Medical PA is located at 1222 S Patterson Blvd Ste 120, Dayton, OH 45402. The listed phone number is (937) 701-0099.

What is Premise Health Of Ohio Medical PA's specialty?

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

Does Premise Health Of Ohio Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2121352) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Ohio Medical PA was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.