Organization Active NPI

Ben J Palombo, MD, AMC

Doing business as Premier Care Family Medicine

  • Family Medicine Physician
  • Pineville, LA
National Provider Identifier
1801171491
Registry record updated Oct 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BEN J PALOMBO, MD, AMC
Doing business as
Premier Care Family Medicine
Practice address
1135 Expressway Drive
Suite 200 B
Pineville, LA 71360-6653
Phone
(318) 561-0001
Fax
(318) 561-0121
NPI assigned
Oct 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2011

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

Authorized official

Name
Dr. Benjamin J Palombo, MD
Title
President
Phone
(318) 561-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1135 Expressway Drive
Suite 200 B
Pineville, LA 71360-6653

Mailing address

1135 Expressway Dr
Suite 200B
Pineville, LA 71360-6653
Phone (318) 561-0001

Other names 1

  • Premier Care Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1135 Expressway Dr
Ste 200B
Pineville, LA 71360
Phone (318) 561-0001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3363/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1801171491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 EXPRESSWAY DR",
            "address_2": "SUITE 200B",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606653",
            "telephone_number": "318-561-0001",
            "fax_number": "318-561-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 EXPRESSWAY DRIVE",
            "address_2": "SUITE 200 B",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606653",
            "telephone_number": "318-561-0001",
            "fax_number": "318-561-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN J PALOMBO, MD, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "PALOMBO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-561-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Care Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.