Organization Active NPI

Premier Womens Care, LLC

  • Specialist
  • Elkton, MD
National Provider Identifier
1700284437
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PREMIER WOMENS CARE, LLC
Practice address
677 E Pulaski Hwy
Elkton, MD 21921-6037
Phone
(443) 945-9500
Fax
(443) 485-6531
NPI assigned
Dec 11, 2014
Last updated
Dec 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Hassan Hayat
Title
Sole MBR
Phone
(410) 398-0590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

677 E Pulaski Hwy
Elkton, MD 21921-6037

Mailing address

PO Box 428
Elkton, MD 21922-0428
Phone (410) 398-0590

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1700284437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219220428",
            "telephone_number": "410-398-0590",
            "fax_number": "443-485-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216037",
            "telephone_number": "443-945-9500",
            "fax_number": "443-485-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOMENS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "HAYAT",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "410-398-0590"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.