# PREMIER CARDIOTHORACIC AND VASCULAR SURGEONS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811944531
- **Authorized official:** KOK H LIM MD (PRESIDENT)
- **Authorized official phone:** (937) 275-5100

## Contact information

- **Practice address:** 30 E APPLE ST STE 6200, DAYTON, OH 45409-2939
- **Practice address phone:** (937) 275-5100
- **Practice address fax:** (937) 275-4587
- **Mailing address:** PO BOX 73392, CLEVELAND, OH 44193-0002
- **Mailing address phone:** (937) 293-0247
- **Mailing address fax:** (937) 293-0960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 08/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000039029 | ANTHEM | OH |
| 05 | — | 2149946 | — | OH |
| 01 | — | DB6525 | RAILROAD MEDICARE | OH |