Premier Urgent Care at Kennett Square, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PREMIER URGENT CARE AT KENNETT SQUARE, LLC

Practice address

635 Conestoga Rd
Villanova, PA 19085-1302

Phone

(610) 728-6100

Fax

(610) 728-6071

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Edward M Silverman, D.O,

Title

Ceo

Phone

(610) 247-0891

Specialties & licenses 2

Addresses

Other names 1

• Premier Urgent Care Doing business as

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1326470675",
    "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": "635 CONESTOGA RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851302",
            "telephone_number": "610-728-6100",
            "fax_number": "610-728-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER URGENT CARE AT KENNETT SQUARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-247-0891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O,"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Pezzeca, PSY.D.
• Alison Dean Portnoy, M.D.
• Candice N Post, PSYD
• Robin Dale Powell, M.D.
• Premier Mobile Diagnostics Inc.
• Lara Quisumbing, DPT
• Elena Ramos
• Regenerative Pain Specialist, PC
• Edmund Leigh Riccio, PSYD
• Sally Rice, CRNP, PMHNP-BC

• Urgent Care Clinic/Center in Villanova, PA
• Providers in Villanova, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.