Premier CDS Services

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

PREMIER CDS SERVICES

Practice address

4144 Lindell Blvd Ste 218
Saint Louis, MO 63108-2932

Phone

(314) 833-4466

NPI assigned

Feb 27, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deonda Poke

Title

Executive Director

Phone

(314) 833-4466

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1053945105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD STE 218",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082932",
            "telephone_number": "314-833-4466",
            "fax_number": "314-833-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD STE 218",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082932",
            "telephone_number": "314-833-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CDS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "POKE",
        "authorized_official_first_name": "DEONDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-833-4466"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana J. Preiss, CPNP
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• David J Prelutsky, MD
• Premier Anesthesia LLC
• Premier Assist Plus
• Premier Charter School
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• Premier Comfort Care LLC
• Premier Companion Care Agency LLC.
• Premier Dermatology LLC

• Preferred Provider Organization in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Preferred Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.