Organization Active NPI

MC Premier Care LLC

  • Internal Medicine Physician
  • Azle, TX
National Provider Identifier
1871704429
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2460 Issued in TX
Legal business name
MC PREMIER CARE LLC
Doing business as
Premier Care
Practice address
236 Park PL
Azle, TX 76020-3230
Phone
(817) 270-3000
Fax
(817) 270-3001
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Dr. Michael Kent McFarland, DONPI 1881658714
Title
Owner
Phone
(817) 270-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X L2460 TX Primary

Addresses

Primary practice location

236 Park PL
Azle, TX 76020-3230

Mailing address

236 Park PL
Azle, TX 76020-3230
Phone (817) 270-3000

Other identifiers 1

IdentifierTypeStateIssuer
188075902MedicaidTX

Other names 1

  • Premier Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071106000586 TX Part B Supplier - Clinic/Group Practice 0244327302 Receives reassigned benefits from 1 practitioner
Practice locations: Azle, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1069669Premier Care236 Park Place, Azle, TX 76020Certificate of waiverJun 11, 2027

National Provider Directory

National Provider Directory

Locations

236 Park Pl
Azle, TX 76020
Phone (817) 270-3000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1871704429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 PARK PL",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203230",
            "telephone_number": "817-270-3000",
            "fax_number": "817-270-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 PARK PL",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203230",
            "telephone_number": "817-270-3000",
            "fax_number": "817-270-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC PREMIER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-270-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188075902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Azle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.