Premier Health Care Group PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMIER HEALTH CARE GROUP PLLC

Practice address

5050 Crenshaw Rd Ste 100
Pasadena, TX 77505-3139

Phone

(832) 399-4141

Fax

(281) 487-8824

NPI assigned

Oct 10, 2005

Organization subpart

No

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

Authorized official

Name

Karen Ann Fitzsimmons

Title

Practice Administrator

Phone

(832) 399-4141

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/57555142-fd4d-44f9-b414-6223f59f4079/

Practitioners 5

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

• Silvia Boccardo-Sabatini, MD

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1861480204
  Medicare reassignment Care Compare group NPD
• Christina Souheil Haddad

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1205490141

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Peter Souheil Haddad, M.D.

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1033644299
  Medicare reassignment Care Compare group NPD
• Monte Edward Orahood, M.D,

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1114956414
  Medicare reassignment Care Compare group NPD
• Samuel Alfonso Vega, MD

  • Adult Medicine Physician
  • Pasadena, TX
  • NPI 1477015493
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1174511513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW RD STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139",
            "telephone_number": "832-399-4141",
            "fax_number": "281-487-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW RD STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139",
            "telephone_number": "832-399-4141",
            "fax_number": "281-487-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH CARE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2021-12-08",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "832-399-4141"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093873001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.