PREMIER HEALTH EXPRESS AND ADVANCED DIAGNOSTICS INC (NPI# 1144718792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144718792 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTH EXPRESS AND ADVANCED DIAGNOSTICS INC |
| Practice Address |
9710 Patuxent Woods Dr Columbia MD 21046-1526 |
| Practice Telephone | 4438999525 |
| Practice Fax Number | 4432000233 |
| Mailing Telephone | 4438999525 |
| Mailing Fax Number | 4432000233 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | SAMUEL S NOKURI (OWNER) |
| Authorized Official Telephone | 4438999525 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
D0070766 | MD | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4821 Allentown Rd, Camp Springs, MD 207463933 | 4438999525 | 8332301191 |
| 5474 Saint Barnabas Rd, Oxon Hill, MD 207453622 | 4438999525 | 8332301191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705748 | Premier Health Express and Advanced Diagnostics Inc | Clinic/Center | 5474 Saint Barnabas Rd, Oxon Hill, MD 20745-3622 | 2020-09-17 |
| Street Address |
9710 PATUXENT WOODS DR |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236775 | Melissa Aviva Clark | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2005-09-21 |
| 1720520810 | Your Health Network | Clinic/Center | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2016-11-07 |
| 1245782010 | Grace Fitzpatrick | Nurse Practitioner | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2016-10-27 |
| 1144673583 | Grace Rudatsikira | Social Worker | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2016-07-21 |
| 1659769024 | Your Health Network, Inc. | Counselor | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2015-01-07 |
| 1033517255 | Your Health Network, Inc. | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2014-12-22 |
| 1356771372 | Danielle Herrmann | Social Worker | 9710 Patuxent Woods Dr, Columbia, MD 21046-1526 | 2013-11-13 |
| 1619210960 | Amanda L Sollars | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2013-04-04 |
| 1497999775 | Adanma Ngozi Ndubuizu | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1174168033 | Rightplace Family Clinic | Clinic/Center | 8640 Guilford Rd Ste 233, Columbia, MD 21046-2664 | 2019-11-14 |
| 1972986271 | University of Maryland Faculty Physicians Immediate Care, LLC | Clinic/Center | 5890 Waterloo Road, Columbia, MD 21045 | 2015-07-06 |
| 1043561020 | Medcare Urgent Care Center Sparkleberry | Clinic/Center | 10136 Two Notch Rd Ste 104, Columbia, SC 29229-4399 | 2012-10-01 |
| 1396778056 | Lexington County Health Services District, Inc. | Clinic/Center | 7035 Saint Andrews Rd, Columbia, SC 29210 | 2006-07-08 |
| 1487148052 | American Current Care, P.a. | Clinic/Center | 1715 Blanding St, Columbia, SC 29201-3441 | 2018-06-18 |
| 1982143798 | Kinder Mender | Clinic/Center | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2017-02-14 |
| 1982051454 | Anderson Medical | Clinic/Center | 1202 S James Campbell Blvd Ste 18, Columbia, TN 38401-5162 | 2016-05-16 |
| 1245694082 | Nextcare Missouri LLC | Clinic/Center | 202 E Nifong Blvd, Columbia, MO 65203-3759 | 2016-04-07 |
| 1649642547 | Pediatric Walk-in, LLC | Clinic/Center | 109 W Legion Ave, Columbia, IL 62236-2341 | 2015-10-30 |
| 1528300621 | Family Health Group Inc | Clinic/Center | 1218 Trotwood Ave, Columbia, TN 38401-6406 | 2013-03-27 |
| Find all providers in COLUMBIA | ||||
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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.