Premier Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

07538449R Issued in AZ

Legal business name

PREMIER MEDICAL GROUP, LLC

Practice address

5030 S Mill Ave Ste D12
Tempe, AZ 85282-6849

Phone

(480) 894-2823

Fax

(480) 664-0828

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Stacia Mendez

Title

Office Manager

Phone

(480) 894-2823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 32

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

• Joshua Zalman Bloomberg, DO

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1881966448
  Medicare reassignment Care Compare group NPD
• Robert Joseph Bloomberg, MD

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1952375362
  Medicare reassignment Care Compare group NPD
• Steven C Burns, M.D.

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1437154549
  Medicare reassignment Care Compare group NPD
• Bradley Gonik, MD

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1952862765
  Medicare reassignment Care Compare group NPD
• Shu-Ying Hsieh, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1912149147
  Medicare reassignment Care Compare group NPD
• Alexandra Lee Lyons, FNP

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1235889205
  Medicare reassignment Care Compare group NPD
• Curtis P Page, MD

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1295730539
  Medicare reassignment Care Compare group NPD
• Robert H Page, MD

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1851398069
  Medicare reassignment Care Compare group NPD
• Jessica Symmes, FNP

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1467152918
  Medicare reassignment Care Compare group NPD
• Samira Zamani, D.O

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1225300882
  Medicare reassignment Care Compare group NPD
• Genevieve H Groff, PA

  • Physician Assistant
  • Tempe, AZ
  • NPI 1578706248
  Medicare reassignment Care Compare group
• Audrey Elise Lands, PA-C

  • Physician Assistant
  • Tempe, AZ
  • NPI 1528603511
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1467534487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 S ASH AVE STE A-2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826837",
            "telephone_number": "602-833-6585",
            "fax_number": "602-903-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 S MILL AVE STE D12",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826849",
            "telephone_number": "480-894-2823",
            "fax_number": "480-664-0828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 S McClintock Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852833394",
            "country_code": "US",
            "telephone_number": "480-838-3110",
            "fax_number": "480-838-3902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5005 S Ash Ave Ste A-2",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852826837",
            "country_code": "US",
            "telephone_number": "602-833-6585",
            "fax_number": "602-903-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6426 S McClintock Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852833954",
            "country_code": "US",
            "telephone_number": "480-838-3100",
            "fax_number": "480-838-3902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "STACIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-894-2823"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "07538449R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristin Prendergast
• Robin Louise Prentice, MD
• Present Flow Therapy & Wellness

• Family Medicine Physician in Tempe, AZ
• Providers in Tempe, 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 Jun 23, 2023; 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.