Premiere Physicians P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREMIERE PHYSICIANS P.A.

Practice address

314 E Main St
Suite 103
Newark, DE 19711-7128

Phone

(302) 366-0550

Fax

(302) 366-8905

NPI assigned

Sep 20, 2006

Last updated

Oct 26, 2012By 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

Ingrid Agard

Title

Practice Manager

Phone

(302) 366-0550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 12

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.

• Reynold S Agard, M.D.

  • Internal Medicine Physician
  • Newark, DE
  • NPI 1902811730
  Medicare reassignment Care Compare group NPD
• Judy Mi-Young Lim, MD

  • Family Medicine Physician
  • Newark, DE
  • NPI 1083667208
  Medicare reassignment Care Compare group NPD
• Sam Kidane

  • Family Nurse Practitioner
  • Newark, DE
  • NPI 1497412399
  Medicare reassignment NPD
• Nadisha Levy, FNP

  • Family Nurse Practitioner
  • Newark, DE
  • NPI 1457961989
  Medicare reassignment NPD
• Nicole Renee McCarry, FNP

  • Family Nurse Practitioner
  • Newark, DE
  • NPI 1750048690

  Single Specialty

  Medicare reassignment NPD
• Funmilola Olaoye

  • Nurse Practitioner
  • Newark, DE
  • NPI 1548903610
  Medicare reassignment NPD
• Khadija Adam Zakaria, FNP

  • Primary Care Nurse Practitioner
  • Wilmington, DE
  • NPI 1780908392
  Medicare reassignment NPD
• Angela Barone, DNP

  • Nurse Practitioner
  • Smyrna, DE
  • NPI 1205087566
  NPD (past)
• Chetana Kripalu, M.D.

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1730194580
  NPD (past)
• Vinod Kripalu, M.D.

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1295740033
  NPD (past)
• Robin R Morse

  • Family Nurse Practitioner
  • Hockessin, DE
  • NPI 1578307310
  NPD (past)
• Nicole Limmina Scott, N.P.-C.

  • Adult Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1780704460
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1760580336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117128",
            "telephone_number": "302-366-0550",
            "fax_number": "302-366-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117128",
            "telephone_number": "302-366-0550",
            "fax_number": "302-366-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE PHYSICIANS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "AGARD",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "302-366-0550"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024589",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Health Care Inc (Newark Manor Nursing Home)
• Premier Human Services LLC
• Premier Medical Associates
• Premier Medical Associates, LLC
• Premier Pediatrics, LLC
• Premise Health of Delaware Medical PA (On-site US Employee Health & Wellness Center - Newark)
• Premise Health of Delaware Medical, P.a. (AstraZeneca Health & Well Being Center)
• Jordan Nari Pressley, PA-C
• Hailey Jordan Prestash, DPT
• Leigh K Preston, PA-C

• Internal Medicine Physician in Newark, DE
• Providers in Newark, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.