NPIMap

Organization Active NPI

Premier Physicians Centers Inc.

Doing business as Premier Physicians Urgent Care

  • Urgent Care Clinic/Center
  • Middleburg Heights, OH
National Provider Identifier
1194326629
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PREMIER PHYSICIANS CENTERS INC.
Doing business as
Premier Physicians Urgent Care
Practice address
18660 Bagley Rd Ste 101
Middleburg Heights, OH 44130-3483
Phone
(440) 891-9395
Fax
(440) 891-1765
NPI assigned
Nov 2, 2020
Last updated
Jan 29, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER PHYSICIANS CENTERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Charles Mica
Title
Coo
Phone
(440) 895-5057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

18660 Bagley Rd Ste 101
Middleburg Heights, OH 44130-3483

Mailing address

24500 Center Ridge Rd Ste 375
Westlake, OH 44145-5631
Phone (440) 467-1954

Other names 1

  • Premier Physicians Urgent Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0938825Premier Physicians Centers18660 Bagley Road Suite 102-B, Middleburg Heights, OH 44130Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Premier Physicians Centers Inc14 organizations share this tax ID, including this one
Part of
Premier Physicians Centers Inc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1194326629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD STE 375",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455631",
            "telephone_number": "440-467-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD STE 101",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-891-9395",
            "fax_number": "440-891-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICIANS CENTERS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER PHYSICIANS CENTERS, INC",
        "enumeration_date": "2020-11-02",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "MICA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "440-895-5057"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Physicians Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.