Premium Care Medical Center, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREMIUM CARE MEDICAL CENTER, LLC

Practice address

3570 Holiday Dr
Suites 3-7
New Orleans, LA 70114-8287

Phone

(504) 361-4203

Fax

(504) 361-4204

NPI assigned

Jul 22, 2013

Organization subpart

No

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

Authorized official

Name

Princess Dennar, MDNPI 1003906298

Title

Ceo/Managing Partner

Phone

(504) 361-4203

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7881/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Princess Eronmwon Dennar, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1003906298
  Medicare reassignment Care Compare group Authorized official
• Chukwunomnso Nwaka'Ibeya Dennar, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1326153131
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1477995231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 HOLIDAY DR",
            "address_2": "SUITES 3-7",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148287",
            "telephone_number": "504-361-4203",
            "fax_number": "504-361-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 HOLIDAY DR",
            "address_2": "SUITES 3-7",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148287",
            "telephone_number": "504-361-4203",
            "fax_number": "504-361-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM CARE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "DENNAR",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_title_or_position": "CEO/MANAGING PARTNER",
        "authorized_official_telephone_number": "504-361-4203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Lane Transportation
• Premier Medical Clinics
• Premise Health of Louisanna, Professional Medical Corporation
• Premise Health of Louisiana Medical Professional Medical Corporation
• Premise Health of Louisiana Professional Medical Corporation
• Premium Healthcare Services, Inc
• Osei Bonsu Prempeh, M.D.
• Presidential Transportation LLC
• Lisa Prestenback-Dufrene, A.P.R.N.
• Eric William Prestenburg

• Internal Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.