Premier Imaging Group, LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

PREMIER IMAGING GROUP, LLC

Practice address

6070 Grant Rd
Farwell, MI 48622-9554

Phone

(517) 231-2479

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Jason P Wentworth

Title

Owner

Phone

(517) 231-2479

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Wentworth

  • Diagnostic Ultrasound Physician
  • Farwell, MI
  • NPI 1023886975
  NPD

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1306614243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 GRANT RD",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229554",
            "telephone_number": "517-231-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 GRANT RD",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229554",
            "telephone_number": "517-231-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER IMAGING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "WENTWORTH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-231-2479"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Ann Macblain, RPH
• Pennie Kathaleen Marshall, LPN
• Mymichigan Medical Center Clare (MyMichigan Family Medicine)
• Ann Marie Phillips
• Kelly Jo Powell-Wiley, LMSW
• Colleen S Quesada, DMD
• Krystal Elizabeth Rainwater-Baker, LCSW/LMSW-C
• Amanda Lynn Ransom, RPH.
• Barbara Richmond
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 03234)

• Diagnostic Ultrasound Physician in Farwell, MI
• Providers in Farwell, MI by specialty
• Diagnostic Ultrasound Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.