Premier Urgent Care at Kennett Square, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

3939788 Issued in PA

Legal business name

PREMIER URGENT CARE AT KENNETT SQUARE, LLC

Practice address

300 Old Forge Lane
Ste 302
Kennett Square, PA 19348

Phone

(484) 778-8000

Fax

(484) 778-8001

NPI assigned

Mar 17, 2010

Organization subpart

No

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

Authorized official

Name

Edward M Silverman, D.O.

Title

Ceo/President

Phone

(610) 247-0891

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1255655429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 EAGLEVIEW BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411157",
            "telephone_number": "610-561-6400",
            "fax_number": "610-561-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD FORGE LANE",
            "address_2": "STE 302",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "19348",
            "telephone_number": "484-778-8000",
            "fax_number": "484-778-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER URGENT CARE AT KENNETT SQUARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "610-247-0891",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "3939788",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "3939788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Pouncie
• Darlene Vanessa Powell-Griffith, CCC-SLP
• Mary Pranckus, PT ASSISTANT
• Erica Esmeralda Prater, MOTR
• Premier Orthopaedic and Sports Medicine Associates, LTD
• Ashley Suzanne Preston, OTR/L
• Craig Prince, R.PH.
• Professional Podiatry LLC
• Progressive Sports Medicine, PC
• Debra Pronzato, MS, PT

• Emergency Medicine Physician in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.