Premier Medical Associates

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

76537 Issued in MA

Legal business name

PREMIER MEDICAL ASSOCIATES

Practice address

422 Worcester St
Suite 105
Wellesley, MA 02481-5341

Phone

(781) 431-0002

NPI assigned

May 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dianne C Quibell, MDNPI 1265480883

Title

Owner

Phone

(781) 431-0002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dianne Quibell, M.D.

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1265480883
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366656456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WORCESTER ST",
            "address_2": "SUITE 105",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815341",
            "telephone_number": "781-431-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WORCESTER ST",
            "address_2": "SUITE 105",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815341",
            "telephone_number": "781-431-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUIBELL",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-431-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "76537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Post, ATC
• Christina Potenza
• Pratt Medical Group, Inc (Wellesley Center for Sleep Medicine, Tufts Medical Center)
• Premier Dental Group of Wellesley, P.C.
• Premier Dermatology, PLLC
• Premier Vision Consultants, LLC
• Anhthy Trinh Prendeville, O.D.
• Primary Care Pediatrics
• Alex T Prior, LICSW
• Patricia A Prior, MSW

• General Practice Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.