Premier Regenerative Health, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PREMIER REGENERATIVE HEALTH, LLC

Practice address

1710 Rufe Snow Drive
Suite 120
Keller, TX 76248-5501

Phone

(469) 933-3519

Fax

(501) 232-2198

NPI assigned

Aug 31, 2018

Last updated

Aug 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Sewell, M.D.NPI 1538491360

Title

Owner

Phone

(305) 613-2194

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Adam L Sewell, MD

  • Pain Medicine (Anesthesiology) Physician
  • Carrollton, TX
  • NPI 1538491360
  Authorized official Same address or phone

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1710469291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 56555",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722156555",
            "telephone_number": "469-933-3519",
            "fax_number": "501-232-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 RUFE SNOW DRIVE",
            "address_2": "SUITE 120",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485501",
            "telephone_number": "469-933-3519",
            "fax_number": "501-232-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REGENERATIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-613-2194",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PMR Crna, PLLC
• Joshua Edmund Pohl, LPC ASSOCIATE
• Sydney Xaviea Pough, OTR
• Terrie Power, MS CCC/SLP
• G. Stan Preece, DDS
• Premier Rehab Physical Therapy
• Devon Price, MSN, APRN, FNP-C
• Principal Anesthesia Consultants PLLC
• Jayesh Pujara
• Emilia Pullis, OTR

• Interventional Pain Medicine Physician in Keller, TX
• Providers in Keller, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.