Premier Doctors LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREMIER DOCTORS LLC

Practice address

1730 W 25TH St
Cleveland, OH 44113-3108

Phone

(216) 522-9100

NPI assigned

Nov 28, 2018

Last updated

Nov 28, 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

Dr. M. Hazem Nouraldin, MD

Title

Physician Partner

Phone

(216) 522-9100

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1750851259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45001",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441450001",
            "telephone_number": "216-522-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-522-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2709 Franklin Blvd Fl 2E",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441132993",
            "country_code": "US",
            "telephone_number": "216-363-5720",
            "fax_number": "216-363-5721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER DOCTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "NOURALDIN",
        "authorized_official_first_name": "M. HAZEM",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "216-522-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO BUSINESS CERTIFICATE",
            "identifier": "4238504",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Care of Ohio LLC (Community Medical Services)
• Premier Care of Ohio LLC (Community Medical Services)
• Premier Care of Ohio, LLC (CMS Cleveland on Carnegie)
• Premier Care of Ohio, LLC (Community Medical Services Cleveland on Brookpark)
• Premier Care of Ohio, LLC (CMS Cleveland on Brookpark)
• Premier Express Transport LLC
• Premier Medical Supplies, Inc.
• Premier Neurology LLC
• Premier Ohio Transportation in
• Premier Physicians Centers Inc

• Internal Medicine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.