Organization Active NPI

Premier Hospitalist Group LLC

  • Hospitalist Physician
  • Kennett, MO
National Provider Identifier
1699073486
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2005005184 Issued in MO
Legal business name
PREMIER HOSPITALIST GROUP LLC
Practice address
1301 1St St
Kennett, MO 63857-2525
Phone
(573) 332-0052
Fax
(573) 332-0007
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Vishnu Subramani, M.D.
Title
Director
Phone
(573) 332-0052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X 2005005184 MO Primary

Addresses

Primary practice location

1301 1St St
Kennett, MO 63857-2525

Mailing address

2909 Independence Street
Cape Girardeau, MO 63703-5044
Phone (573) 332-0052

National Provider Directory

National Provider Directory

Locations

1427 Thomas Dr
Ste 202
Cpe Girardeau, MO 63701
Phone (573) 332-0052

125 S Broadview St
Ste 5
Cpe Girardeau, MO 63703
Phone (573) 332-0052

Practitioners & affiliated clinicians

Practitioners 4

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": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1699073486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 INDEPENDENCE STREET",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035044",
            "telephone_number": "573-332-0052",
            "fax_number": "573-332-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572525",
            "telephone_number": "573-332-0052",
            "fax_number": "573-332-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOSPITALIST GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANI",
        "authorized_official_first_name": "VISHNU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-332-0052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2005005184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.