Premier 2020, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PREMIER 2020, LLC

Doing business as

Premier Surgical Center

Practice address

2350 Village Common Dr
Erie, PA 16506-4970

Phone

(814) 453-4575

Fax

(814) 459-3885

NPI assigned

Mar 5, 2021

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Matthew Zimm, DONPI 1609801604

Title

President/Medical Director

Phone

(814) 453-4575

Specialties & licenses 2

Addresses

Other names 1

• Premier Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Premier 2020 LLC Dba Premier Surgery CenterCCN 39C0001373

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lake Erie College of Osteopathic Medicine

  dba Lecom - Englewood Family Practice

  • Family Medicine Physician
  • Englewood, FL
  • NPI 1467087296

  Member Of

  NPD member

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.

• Edward Matthew Zimm, D.O.

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1609801604
  NPD Authorized official

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1215522727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 VILLAGE COMMON DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064970",
            "telephone_number": "814-453-4575",
            "fax_number": "814-459-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 VILLAGE COMMON DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064970",
            "telephone_number": "814-453-4575",
            "fax_number": "814-459-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER 2020, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2024-01-23",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "ZIMM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "814-453-4575",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Donald Eric Preisler, LPN
• Premier Physical Electrodiagnostic Medicine,LLC
• Presbyterian Homes in the Presbytery of Lake Erie
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• Pamela Ann Presler, M.S.W., L.C.S.W.

• Ambulatory Surgical Clinic/Center in Erie, PA
• Providers in Erie, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.