Premier Pediatrics LTD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PREMIER PEDIATRICS LTD

Practice address

6121 Green Bay Rd Ste 150
Kenosha, WI 53142-2983

Phone

(262) 553-6400

Fax

(262) 631-8754

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Jason Friedlander, MDNPI 1558356816

Title

Owner

Phone

(262) 553-6400

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason R Friedlander, M.D.

  • Pediatrics Physician
  • Mount Pleasant, WI
  • NPI 1558356816

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1144053232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 GREEN BAY RD STE 150",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422983",
            "telephone_number": "262-553-6400",
            "fax_number": "262-631-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 GREEN BAY RD STE 150",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422983",
            "telephone_number": "262-553-6400",
            "fax_number": "262-631-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "FRIEDLANDER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-553-6400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Powell
• Pradeep G. Kumar MD Inc
• Emily Elizabeth Prahlow, LMFT
• Prairie Orthdontics S.C.
• Carla Doreen Pratt, LPC-IT
• Premise Health of Wisconsin Medical SC
• Ashli Lorene Price, OTD, OTR/L
• William Henry Price, RSA
• Jenna L Prijatel, PT
• Dominique Shantelle Pritchett, LCSW

• All providers in Kenosha, WI
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.