NPIMap

Organization Active NPI

Premier Chronic Care Management, PLLC

  • Internal Medicine Physician
  • Kingman, AZ
National Provider Identifier
1669864690
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER CHRONIC CARE MANAGEMENT, PLLC
Practice address
3555 Western Ave
Kingman, AZ 86409-3011
Phone
(928) 757-8440
Fax
(928) 757-8448
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Zaffar Iqbal, M.D
Title
Owner
Phone
(928) 757-8440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3555 Western Ave
Kingman, AZ 86409-3011

Mailing address

3555 Western Ave
Kingman, AZ 86409-3011
Phone (928) 757-8440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1669864690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093011",
            "telephone_number": "928-757-8440",
            "fax_number": "928-757-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093011",
            "telephone_number": "928-757-8440",
            "fax_number": "928-757-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHRONIC CARE MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "ZAFFAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-757-8440",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.