Organization Active NPI

Premier Care Injury Services LLC

  • Internal Medicine Physician
  • Northglenn, CO
National Provider Identifier
1104058593
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37380 Issued in CO
Legal business name
PREMIER CARE INJURY SERVICES LLC
Practice address
11154 Huron St # 105-106
Northglenn, CO 80234-2328
Phone
(303) 338-1500
Fax
(303) 338-1508
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Mr. Paul Rothwell
Title
Billing Manager
Phone
(604) 599-1895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 37380 CO Primary

Addresses

Primary practice location

11154 Huron St # 105-106
Northglenn, CO 80234-2328

Mailing address

11154 Huron St # 105-106
Northglenn, CO 80234-2328
Phone (303) 338-1500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1104058593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11154 HURON ST # 105-106",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342328",
            "telephone_number": "303-338-1500",
            "fax_number": "303-338-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11154 HURON ST # 105-106",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342328",
            "telephone_number": "303-338-1500",
            "fax_number": "303-338-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE INJURY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "ROTHWELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "604-599-1895",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "37380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.