Premier Wellness Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

203580 Issued in LA

Legal business name

PREMIER WELLNESS ASSOCIATES, LLC

Practice address

4444 Groom Rd
Baker, LA 70714-3045

Phone

(225) 774-9134

Fax

(225) 774-9136

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Permanand S. J. Beeharilal, MDNPI 1841482445

Title

Owner

Phone

(225) 286-4360

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Permanand S. J. Beeharilal, MD

  • Internal Medicine Physician
  • Zachary, LA
  • NPI 1841482445
  Authorized official Same address or phone

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1134522212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 W PARK DR",
            "address_2": "SUITE B",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914090",
            "telephone_number": "225-286-4360",
            "fax_number": "225-286-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 GROOM RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143045",
            "telephone_number": "225-774-9134",
            "fax_number": "225-774-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WELLNESS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "BEEHARILAL",
        "authorized_official_first_name": "PERMANAND",
        "authorized_official_middle_name": "S. J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-286-4360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "203580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Baker, LA
• Providers in Baker, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.