Premier Specialty Alliance Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREMIER SPECIALTY ALLIANCE INC

Practice address

1580 Santa Barbara Blvd
The Villages, FL 32159-6827

Phone

(352) 259-2159

Fax

(352) 259-5731

NPI assigned

Mar 26, 2014

Last updated

Nov 16, 2022By 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

Cynthia Romska

Title

Credentialing Spec Admin Assistant

Phone

(352) 259-2159

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 28

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.

• Luis Alberto Alvarado Hernandez, M.D.

  • Obstetrics & Gynecology Physician
  • The Villages, FL
  • NPI 1265481733

  Single Specialty

  Medicare reassignment NPD
• Madhusudhan Reddy Banda, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • The Villages, FL
  • NPI 1164529293
  Medicare reassignment NPD
• Sarah Denion

  • Physician Assistant
  • The Villages, FL
  • NPI 1053273284
  Medicare reassignment NPD
• Mohammad A Eldeeb, MD

  • Interventional Pain Medicine Physician
  • Winter Haven, FL
  • NPI 1932213568
  Medicare reassignment NPD
• Judith Jackelyn Faria Briceno, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • The Villages, FL
  • NPI 1164083929

  Internal Medicine

  Medicare reassignment NPD
• Jennifer Rae Harris, APRN

  • Family Nurse Practitioner
  • Temple Terrace, FL
  • NPI 1720653108
  Medicare reassignment NPD
• Makenzie Jane Hilgenberg, PA-C

  • Physician Assistant
  • Lutz, FL
  • NPI 1215683255
  Medicare reassignment NPD
• Stephen I-Hong Hsu, MD, PHD

  • Nephrology Physician
  • The Villages, FL
  • NPI 1538267802

  Internal Medicine

  Medicare reassignment NPD
• Varendra Jamwant, DPM

  • Foot & Ankle Surgery Podiatrist
  • The Villages, FL
  • NPI 1205358777
  Medicare reassignment NPD
• Trisha Khanna, M.D.

  • Dermatology Physician
  • The Villages, FL
  • NPI 1427554203
  Medicare reassignment NPD
• Bruce I Lobar, MD

  • Neurology Physician
  • The Villages, FL
  • NPI 1679534853
  Medicare reassignment NPD
• Melchor Madarang, MD

  • Infectious Disease Physician
  • Oxford, FL
  • NPI 1013975366
  Medicare reassignment NPD

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1477970606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-259-2159",
            "fax_number": "352-259-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPECIALTY ALLIANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-11-16",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "ROMSKA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CREDENTIALING SPEC ADMIN ASSISTANT",
        "authorized_official_telephone_number": "352-259-2159"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Medical Associates of Florida Healthcare, PA
• Premier Medical Associates of Florida Healthcare, PA (Premier Pharmacy)
• Premier Medical Associates of Florida LLC
• Premier Psych LLC
• Premier Recovery Institute LLC
• Premier Specialty Care LLC
• Premier Urgent Care of the Villages LLC
• Kane Austin Price, DC
• Publix Super Markets Inc (Publix Pharmacy #0447)
• Publix Super Markets Inc (Publix Pharmacy #1487)

• Internal Medicine Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.