Premier Healthcare, LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

PREMIER HEALTHCARE, LLC

Practice address

2605 E Creeks Edge Dr
Bloomington, IN 47401-8368

Phone

(812) 355-2300

Fax

(812) 355-2302

NPI assigned

Jul 21, 2010

Last updated

May 9, 2013By 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

Dr. Wesley W Ratliff, M.D.

Title

President

Phone

(812) 355-6900

Specialties & licenses 1

Addresses

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Bloomington Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bloomington, IN
  • NPI 1689679508

  Member Of

  NPD member

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1659684462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033239",
            "telephone_number": "812-355-6900",
            "fax_number": "812-355-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 E CREEKS EDGE DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018368",
            "telephone_number": "812-355-2300",
            "fax_number": "812-355-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-355-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karley Powless
• Ramesh Prajapati, MD
• Dyveke Patrice Pratt, MD
• Premier Healthcare LLC
• Premier Healthcare, LLC
• Premier Medical Group, LLC
• Ryan Wayne Pribble
• Kathleen P Price, NP
• Kayla Price, MS, CCC-SLP
• Jonah Harrison Prickel

• Sports Medicine (Family Medicine) Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Sports Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.