PREMIERE MEDICAL LLC (NPI# 1033625983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033625983 |
| Entity Type | Organization |
| Organization Name | PREMIERE MEDICAL LLC |
| Practice Address |
6877 N Seville Ave Milwaukee WI 53209-2645 |
| Mailing Address |
Po Box 639 Thiensville WI 53092-0639 |
| Practice Telephone | 4142479005 |
| Practice Fax Number | 4142479004 |
| Mailing Telephone | 4142479005 |
| Mailing Fax Number | 4142479004 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | MAUREEN TSOGBE (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3019089136 |
| Authorized Official Credential | APNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4763 | WI | Ambulatory Health Care Facilities |
| Street Address |
6877 N SEVILLE AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53209-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972043503 | Harmony Health Services | Clinic/Center | 5120 W Townsend St, Milwaukee, WI 53216-3231 | 2017-03-01 |
| 1770952152 | Quad/med, LLC | Clinic/Center | 4400 W State St, Building 54, Milwaukee, WI 53208-3140 | 2015-09-16 |
| 1588074991 | Quad/med, LLC | Clinic/Center | 1301 West Canal Street, Milwaukee, WI 53208 | 2014-05-07 |
| 1891125522 | Quad/med, LLC | Clinic/Center | 4400 W State St Bldg 54, Milwaukee, WI 53208-3140 | 2013-11-15 |
| 1528498243 | Quad/med, LLC | Clinic/Center | 122 W Greenfield Ave # 4thb-5, Milwaukee, WI 53204-2946 | 2013-11-15 |
| 1407109093 | Padre Pio Clinic Inc. | Clinic/Center | 1727 S 9th St, Milwaukee, WI 53204-3519 | 2012-10-19 |
| 1831461326 | Padre Pio Pediatrics LLC | Clinic/Center | 929 W Mitchell St, Milwaukee, WI 53204-3534 | 2012-01-31 |
| 1942437009 | North Avenue Family Medical Center | Clinic/Center | 1134 W North Ave, Milwaukee, WI 53205-1333 | 2009-06-16 |
| 1235388604 | Oakwood Family Medical Clinic,s.c. | Clinic/Center | 1845 N Farwell Ave Ste 207, Milwaukee, WI 53202-1715 | 2008-09-10 |
| 1386803757 | Dr. Joseph S Kostrzewski Sc | Clinic/Center | 1717 W Greenfield Ave, Milwaukee, WI 53204-2658 | 2008-06-02 |
| Find all providers in MILWAUKEE | ||||
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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.