Precise Telehealth Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRECISE TELEHEALTH INC

Practice address

22 W Padonia Rd Ste C241
Timonium, MD 21093-2237

Phone

(203) 524-9871

Fax

(844) 828-6164

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Michael Kerouac

Title

President

Phone

(203) 524-9871

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1669823746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD STE C241",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932237",
            "telephone_number": "203-524-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD STE C241",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932237",
            "telephone_number": "203-524-9871",
            "fax_number": "844-828-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE TELEHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2022-07-12",
        "certification_date": "2022-03-20",
        "status": "A",
        "authorized_official_last_name": "KEROUAC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-524-9871"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.app.elationemr.com/",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "22 W Padonia Rd Ste C241",
            "city": "Timonium",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210932237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.