Provider Demographics
NPI:1497400790
Name:PREMIER SURGICAL INSTITUTE LLC
Entity Type:Organization
Organization Name:PREMIER SURGICAL INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DANKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-221-1928
Mailing Address - Street 1:PO BOX 525
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-0525
Mailing Address - Country:US
Mailing Address - Phone:513-454-7146
Mailing Address - Fax:
Practice Address - Street 1:1303 MATTEC DR.
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140
Practice Address - Country:US
Practice Address - Phone:513-454-7146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical