Premier Medical Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0071298 Issued in FL

Legal business name

PREMIER MEDICAL ASSOCIATES LLC

Practice address

2109 59TH St W
Bradenton, FL 34209-7015

Phone

(941) 761-3777

Fax

(941) 761-3779

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gustavo B Arrojo, MD

Title

Owner

Phone

(941) 761-3777

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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

• Waguih El Masry, M.D

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1336103167

  Internal Medicine

  NPD (past)
• Jorge L. Hernandez, M.D.

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1932192325

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1871609040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14056",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342804056",
            "telephone_number": "941-761-3777",
            "fax_number": "941-761-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097015",
            "telephone_number": "941-761-3777",
            "fax_number": "941-761-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "ARROJO",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-761-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251289100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00173098",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "DC5035",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Behavioral Solutions of Florida
• Premier Behavioral Solutions of Florida Inc
• Premier Behavioral Solutions of Florida Inc.
• Premier Behavioral Solutions of Florida, Inc
• Premier Behavioral Solutions of Florida, Inc.
• Premier OBGYN Associates PLLC
• Sandra Prenosil
• Presbyterian Retirement Communities, Inc.
• Presbyterian Retirement Communities, Inc.
• Anna Lynn Price, PMHNP-BC

• All providers in Bradenton, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.