Active NPI
Premier ASC LLC
- Ambulatory Surgical Clinic/Center
- Greenville, SC
National Provider Identifier
1043072168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PREMIER ASC LLC
- Practice address
- 300 Regent Park CT
Greenville, SC 29607-6547 - Phone
- (833) 365-7246
- NPI assigned
- Jan 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Javid Baksh, MD
- Title
- Owner
- Phone
- (845) 774-9778
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
300 Regent Park CT
Greenville, SC 29607-6547
Mailing address
300 Regent Park CT
Greenville, SC 29607-6547
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Asheville, NC
- NPI 1447413190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1043072168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 REGENT PARK CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 REGENT PARK CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076547",
"telephone_number": "833-365-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "BAKSH",
"authorized_official_first_name": "JAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-774-9778",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Gindy Leeanne Preddy
- Preferred Diagnostic Centers, LLC
- Preferred Rehab and Mobility, LLC
- Christopher Allan Pregnall, CRNA
- Erik Alan Preheim, PHARMD
- Premier Medical, Inc.
- Premier Physical Therapy of the Upstate LLC
- Premier Primary Care LLC
- Premise Health of South Carolina Medical PC
- Premise Health of South Carolina Medical PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.