Premier Physical Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREMIER PHYSICAL MEDICINE LLC

Practice address

3011 N Union St
Ponca City, OK 74601-7400

Phone

(316) 683-9500

Fax

(316) 683-9502

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Tanner P HancockNPI 1174593719

Title

Owner

Phone

(316) 683-9500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Tanner Patrick Hancock, DC

  • Chiropractor
  • Plano, TX
  • NPI 1174593719
  NPD (past) Authorized official
• Joanna Tripp Ware, CNS, ARNP

  • Gerontology Clinical Nurse Specialist
  • Ponca City, OK
  • NPI 1578858189
  NPD (past)

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1710229836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 SHADYBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081844",
            "telephone_number": "316-683-9500",
            "fax_number": "316-683-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 N UNION ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746017400",
            "telephone_number": "316-683-9500",
            "fax_number": "316-683-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "TANNER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-683-9500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Potter, LPN
• Amanda Kay Powelson
• Mark A Prado, DC
• Precise Home Health Care Sevices LLC
• Preferred Family Healthcare, Inc.
• Alysa Kay Pressnall, APRN
• Francis L Primeaux
• Rachel Joya Primeaux
• Proving Faithful Investments Inc.
• Proving Faithful LLC

• Family Medicine Physician in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.