NPIMap

Organization Active NPI

Premier Urgent Care of Eastgate

  • Urgent Care Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1083987002
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PREMIER URGENT CARE OF EASTGATE
Practice address
4530 Eastgate Blvd
Ste B-616
Cincinnati, OH 45245-1266
Phone
(513) 752-1999
Fax
(513) 752-0914
NPI assigned
Feb 22, 2012
Last updated
Feb 22, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER HEALTH CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Machelle Giordon
Title
Credentialing Specialist
Phone
(330) 723-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4530 Eastgate Blvd
Ste B-616
Cincinnati, OH 45245-1266

Mailing address

4530 Eastgate Blvd
Ste B-616
Cincinnati, OH 45245-1266
Phone (513) 752-1999

National Provider Directory

National Provider Directory
Tax ID family
Premier Urgent Care of Eastgate2 organizations share this tax ID, including this one
Part of
Premier Urgent Care of Eastgate

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4530 Eastgate Blvd
Ste B616
Cincinnati, OH 45245
Phone (513) 752-1999

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1083987002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 EASTGATE BLVD",
            "address_2": "STE B-616",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451266",
            "telephone_number": "513-752-1999",
            "fax_number": "513-752-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 EASTGATE BLVD",
            "address_2": "STE B-616",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451266",
            "telephone_number": "513-752-1999",
            "fax_number": "513-752-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER URGENT CARE OF EASTGATE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH CARE LLC",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "GIORDON",
        "authorized_official_first_name": "MACHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "330-723-2111"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.