Premier Healthcare DME Supply LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

006493 Issued in AZ

Legal business name

PREMIER HEALTHCARE DME SUPPLY LLC

Practice address

20851 E Rittenhouse Rd Ste E103
Queen Creek, AZ 85142-4493

Phone

(480) 677-2800

Fax

(888) 503-3238

NPI assigned

Dec 19, 2016

Organization subpart

No

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

Authorized official

Name

Brandi M Dutra

Title

Office Manager

Phone

(480) 622-0352

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.

• Brett Baker, D.C.

  • Chiropractor
  • Queen Creek, AZ
  • NPI 1093954893
  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1447794979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20851 E RITTENHOUSE RD STE E103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424493",
            "telephone_number": "480-677-2800",
            "fax_number": "888-503-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20851 E RITTENHOUSE RD STE E103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424493",
            "telephone_number": "480-677-2800",
            "fax_number": "888-503-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTHCARE DME SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "DUTRA",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-622-0352"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Powell, DPT
• Kristi L Pradelt, PHARM.D.
• Premier Comprehensive Health LLC
• Premier Health and Medical
• Premier Health LLC
• Prestige Primary Care, PLLC
• Prestige Residential Home LLC
• Dwan Price-Katz, CPM
• Primary Care Practice of Arizona, PLLC (Gateway Urgent Care)
• Prism Community Care LLC

• Family Medicine Physician in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.