Premier Health Choice Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREMIER HEALTH CHOICE GROUP

Practice address

4212 Ramsgate LN
Bloomfield Hills, MI 48302-1635

Phone

(248) 937-0212

Fax

(248) 862-6964

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Maria Mendoza

Title

Manager

Phone

(248) 937-0212

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1184245284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 RAMSGATE LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021635",
            "telephone_number": "248-937-0212",
            "fax_number": "248-862-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 RAMSGATE LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021635",
            "telephone_number": "248-937-0212",
            "fax_number": "248-862-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH CHOICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-937-0212"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bala Shanker Prasad, M.D.
• Niru Prasad, M.D.
• Shobha Prasad, MA LLP CSW CACI LPC
• Yarlagadda K. Prasad, M.D.
• Preferred Audiology & Hearing Care
• Premiercare Health Services, Inc.
• Premium Counseling Services
• Prestige Transportation LLC
• Samantha Dawn Price, FNP-BC
• Primary Medicine PC

• Family Medicine Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.