Primus Trauma Care LLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

PRIMUS TRAUMA CARE LLC

Practice address

1304 Franklin Avenue
Normal, IL 61761

Phone

(309) 827-4321

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Straza

Title

Operations Director

Phone

(309) 661-2247

Specialties & licenses 1

Addresses

Practitioners 2

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

• Larry Pinter, M.D.

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1861429177

  Emergency Medical Services

  NPD
• Vanessa L Pitts, M.D.

  • Emergency Medicine Physician
  • Pontiac, IL
  • NPI 1588691687

  Emergency Medical Services

  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1831384643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 CADWELL DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043683",
            "telephone_number": "309-661-2247",
            "fax_number": "309-664-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 FRANKLIN AVENUE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-827-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMUS TRAUMA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "STRAZA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "309-661-2247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Medical Group, LLC
• Premier Medical Group, LLC
• Susan Georgia Prendergast, PHD, CCC-A
• Ariel Elizabeth Pribble, RN
• Brittany B Price, M.D.
• Kristi M Probst, M.S.
• Tomasz Przednowek
• Mary Ann Pullin, LCSW
• Tamra Ann Purcell, RPH.
• Kelly R Pyle, AUD

• Emergency Medical Services (Emergency Medicine) Physician in Normal, IL
• Providers in Normal, IL by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.