Active NPI
Premier Medical Group PC
- Orthopaedic Surgery Physician
- Stamford, CT
National Provider Identifier
1710139936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PREMIER MEDICAL GROUP PC
- Practice address
- 31 Strawberry Hill Ave
Stamford, CT 06902-2608 - Phone
- (203) 325-8888
- Fax
- (203) 359-2344
- NPI assigned
- Oct 21, 2008
- Last updated
- Oct 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Rodis, M.D.
- Title
- President
- Phone
- (203) 276-7295
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Physical Therapist | 225100000X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
31 Strawberry Hill Ave
Stamford, CT 06902-2608
Mailing address
31 Strawberry Hill Ave
Stamford, CT 06902-2608
Phone (203) 325-8888
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics Physician
- Stamford, CT
- NPI 1174534150
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Stamford, CT
- NPI 1104829415
Acupuncturist
-
- Physical Therapist
- Fairfield, CT
- NPI 1932367711
-
- Surgical Physician Assistant
- Greenwich, CT
- NPI 1841492089
-
- Physical Therapist
- Bedford, NY
- NPI 1336132976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1710139936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 STRAWBERRY HILL AVE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022608",
"telephone_number": "203-325-8888",
"fax_number": "203-359-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 STRAWBERRY HILL AVE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022608",
"telephone_number": "203-325-8888",
"fax_number": "203-359-2344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "RODIS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-276-7295",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
- Preferred Footcare LLC
- Preferred Mdcare, LLC
- Premier Bariatric Group LLC
- Premier Home Health Care Services, Inc.
- Premier Home Health Care Services, Inc. (Premier Home Health Care of Connecticut)
- Premise Health of Connecticut Medical PC (Purdue Pharma Tech Health Center)
- Eileen Prendergast
- Lynette Prescott, LMSW
- Margaret Louise Presley
- Prestige Podiatry Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.