PREMIER PM PA (NPI# 1013304096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013304096 |
| Entity Type | Organization |
| Organization Name | PREMIER PM PA |
| Practice Address |
2018 Broadway St Pearland TX 77581-5502 |
| Practice Telephone | 2814852955 |
| Mailing Telephone | 2814852955 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |
| Authorized Official Name | JERRY PARSONS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2814852955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
717330 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2018 BROADWAY ST |
| City | PEARLAND |
| State | TX |
| Zip Code | 77581-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033316716 | James David Parsons II | Chiropractor | 2018 Broadway St, Pearland, TX 77581-5502 | 2007-06-27 |
| 1376019752 | Tiffany Lynn Mauldin | Family Medicine | 2018 Broadway St, Pearland, TX 77581-5502 | 2018-10-23 |
| 1619404910 | Renee Johns | Chiropractor | 2018 Broadway St, Pearland, TX 77581-5502 | 2017-05-17 |
| 1982035572 | Steven Levingston | Chiropractor | 2018 Broadway St, Pearland, TX 77581-5502 | 2013-12-06 |
| 1760722722 | Premier Physical Medicine Pa | Nurse Practitioner | 2018 Broadway St, Pearland, TX 77581-5502 | 2013-02-27 |
| 1164773354 | Courtney Beth Eckelkamp | Chiropractor | 2018 Broadway St, Pearland, TX 77581-5502 | 2012-09-27 |
| 1992078075 | Robert Soliz | Chiropractor | 2018 Broadway St, Pearland, TX 77581-5502 | 2012-02-20 |
| 1386922862 | Leon Joseph Fazzio IIi | Chiropractor | 2018 Broadway St, Pearland, TX 77581-5502 | 2011-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171973 | Teledentist365 Foundation | Public Health or Welfare | 2111 Limrick Drive, Pearland, TX 77581 | 2020-07-10 |
| 1558984757 | Oculus Interest Vii, LLC | Optometrist | 2470 Pearland Pkwy, Pearland, TX 77581 | 2020-05-21 |
| 1285267591 | Rachel Daniels | Speech-Language Pathologist | 2011 E. Broadway, Ste. 130, Pearland, TX 77581 | 2020-02-14 |
| 1164054615 | Chau Minh Pho | Pharmacist | 3245 Fm518, Pearland, TX 77581 | 2020-02-12 |
| 1902460611 | Areli Dominguez | Behavior Technician | 6516 Broadway Street, Suite 112, Perland, TX 77581 | 2019-04-29 |
| 1700356359 | Rebekah Buck | Physical Therapist | 2011 E. Broadway Ste 130, Pearland, TX 77581 | 2018-11-27 |
| 1639676737 | Kjj Vision Pllc | Optometrist | 1816 Broadway St Ste 106, Pearland, TX 77581 | 2018-04-06 |
| 1386155398 | Tekisha Murphy | Nurse Practitioner | 2812 Afton Drive, Pearland, TX 77581 | 2017-10-17 |
| 1588181457 | Emily Hamm | Occupational Therapist | 211 E. Broadway, Ste. 130, Pearland, TX 77581 | 2017-08-23 |
| 1013437938 | Kristin Aulds | Dentist | 2708 Pearland Parkway, Ste 220, Pearland, TX 77581 | 2017-06-21 |
| Find all providers in zip 77581 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849338 | Wendy Villanueva | Nurse Practitioner | 6708 Old Oaks Blvd, Pearland, TX 77584-7140 | 2020-10-20 |
| 1255938916 | Zavera Mcdonald Fnp, Pllc | Nurse Practitioner | 3695 Kirby Dr Ste 125, Pearland, TX 77584-5544 | 2020-10-06 |
| 1528678935 | Melodi Fulya Genceli-ozkan | Nurse Practitioner | 2703 Shadow Bay Dr, Pearland, TX 77584-7218 | 2020-08-01 |
| 1609416296 | Adeola Serifat Adebayo | Nurse Practitioner | 2407 Suncreek Ln, Pearland, TX 77584-3194 | 2020-01-10 |
| 1558908772 | Kia Crawford | Nurse Practitioner | 2404 Smith Ranch Rd Ste 300, Pearland, TX 77584-5201 | 2019-12-06 |
| 1285270991 | Shybi Varghese | Nurse Practitioner | 11307 Palm Bay St, Pearland, TX 77584-8253 | 2019-11-18 |
| 1881237592 | Y Tu Quach | Nurse Practitioner | 3535 Morning Hill Ct, Pearland, TX 77584-7445 | 2019-10-25 |
| 1356804496 | Dustin Rhodes | Nurse Practitioner | 1015 Abbott Dr, Pearland, TX 77584-2391 | 2019-04-06 |
| 1619431251 | Emma Akinyi Ogunda | Nurse Practitioner | 1916 Stable Stone Ln, Pearland, TX 77581-6540 | 2019-01-28 |
| 1497219067 | Jeemol George | Nurse Practitioner | 13606 Becket Bluff Ct, Pearland, TX 77584-2448 | 2019-01-28 |
| Find all providers in PEARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.