Premier Health,P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1584 Issued in MN

Legal business name

PREMIER HEALTH,P.A.

Practice address

6861 Upper Afton Rd
Suite 102
Woodbury, MN 55125-4417

Phone

(651) 739-1905

Fax

(651) 738-5979

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Martin Witte, D.C.

Title

President/Owner

Phone

(651) 739-1905

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1619163904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6861 UPPER AFTON RD",
            "address_2": "SUITE 102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254417",
            "telephone_number": "651-739-1905",
            "fax_number": "651-738-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6861 UPPER AFTON RD",
            "address_2": "SUITE 102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254417",
            "telephone_number": "651-739-1905",
            "fax_number": "651-738-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "651-739-1905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "1584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "990727100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Nathan Prall, M.D.
• Roan Sigrid V Precilla, MD
• Christina Preimesberger
• Prelude Homes & Services
• Premier Fitness, Inc. (Premier Fitness Studio)
• Ellie Margaret Prenzlow
• Prerihealth
• Preserve Dentistry, PA
• Keanna Prestegaard, PA-C
• Christiana Prestigiacomo, PHD

• Clinic/Center in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.