Premium United Care LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

202997 Issued in LA

Legal business name

PREMIUM UNITED CARE LLC

Practice address

17000 Medical Center Dr
Baton Rouge, LA 70816-3246

Phone

(214) 909-9071

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John O Nnadi, MD

Title

Ceo

Phone

(214) 909-9071

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1285067751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 TRADITION AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 MEDICAL CENTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163246",
            "telephone_number": "214-909-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM UNITED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "NNADI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-909-9071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "202997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.