Premier Weight Loss of Indiana LLC

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

Legal business name

PREMIER WEIGHT LOSS OF INDIANA LLC

Practice address

8902 N Meridian St Ste 100
Indianapolis, IN 46260-5306

Phone

(317) 643-4444

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Priddy, DO

Title

President

Phone

(317) 523-7121

Specialties & licenses 1

Addresses

Tax ID family

Premier Weight Loss2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Premier Weight Loss of Indiana LLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Indianapolis, IN
  • NPI 1538907522
  NPD tax ID

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1295519486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605306",
            "telephone_number": "317-643-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605306",
            "telephone_number": "317-643-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WEIGHT LOSS OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "PRIDDY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-523-7121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua E Preiss, M.D.
• Premier Hospice & Palliative Care - Indiana, LLC
• Premier Integrated Health P.C.
• Premier Orthodontics LLC
• Premier Sunrise Home Care LLC
• Premier Weight Loss of Indiana LLC
• Premiere Rehab, LLC
• Premise Health of Indiana Medical PC
• Premise Health of Indiana Medical PC
• Premise Health of Indiana Medical PC

• Obesity Medicine (Preventive Medicine) Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Obesity Medicine (Preventive Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.