Premier Medical Care LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PREMIER MEDICAL CARE LLC

Practice address

9355 Warrick TRL
Newburgh, IN 47630-0015

Phone

(270) 925-2732

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Mohammed Mourad, MD

Title

Owner

Phone

(270) 925-2732

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, KY2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Mohammad Bashar Mourad, M.D.

  • Nephrology Physician
  • Newburgh, IN
  • NPI 1093712952

  KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1881297836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 CYPRESS POINTE DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309844",
            "telephone_number": "270-925-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 WARRICK TRL",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476300015",
            "telephone_number": "270-925-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "MOURAD",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-925-2732",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Potts, RDN
• Jamie Powell
• Taryn Powell
• Kusum M Pradhan, M.D.
• Vajravel M. Prasad, MD
• Ann G Prescott, NP-C
• Nathaniel Mills Preston
• Kirsten Pride, RBT
• Procare Healthspot, LLC
• Promax Laboratory

• Nephrology Physician in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.