Organization Active NPI

Premier Urgent Care and Bariatric Services, LLC

  • Family Medicine Physician
  • West Monroe, LA
National Provider Identifier
1396978615
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREMIER URGENT CARE AND BARIATRIC SERVICES, LLC
Practice address
903 Warren Dr Ste B
West Monroe, LA 71291-7158
Phone
(318) 537-9320
Fax
(318) 537-9323
NPI assigned
Sep 3, 2009
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Mr. Gary Michael Stamper
Title
President
Phone
(318) 348-4699

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X LA

Addresses

Primary practice location

903 Warren Dr Ste B
West Monroe, LA 71291-7158

Mailing address

903 Warren Dr Ste B
West Monroe, LA 71291-7158
Phone (318) 537-9320

National Provider Directory

National Provider Directory

Locations

3130 Mercedes Dr
Monroe, LA 71201
Phone (318) 388-1303

903 Warren Dr
Ste B
West Monroe, LA 71291
Phone (318) 537-9320

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1396978615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 WARREN DR STE B",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917158",
            "telephone_number": "318-537-9320",
            "fax_number": "318-537-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WARREN DR STE B",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917158",
            "telephone_number": "318-537-9320",
            "fax_number": "318-537-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER URGENT CARE AND BARIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "STAMPER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-348-4699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.