PREMIER HEALTHCARE GROUP PLLC (NPI# 1174511513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174511513 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTHCARE GROUP PLLC |
| Practice Address |
5050 Crenshaw Rd Ste 100 Pasadena TX 77505-3139 |
| Mailing Address |
5050 Crenshaw Rd Ste 100 Pasadena TX 77505-3139 |
| Practice Telephone | 8323994141 |
| Practice Fax Number | 2814878824 |
| Mailing Telephone | 8323994141 |
| Mailing Fax Number | 2814878824 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | KAREN ANN FITZSIMMONS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8323994141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 093873001 | 05 |
| Street Address |
5050 CRENSHAW RD STE 100 |
| City | PASADENA |
| State | TX |
| Zip Code | 77505-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033644299 | Peter Souheil Haddad | Internal Medicine | 5050 Crenshaw Rd Ste 100, Pasadena, TX 77505-3139 | 2017-04-25 |
| 1609280171 | Timothy Jo Toguchi | Nurse Practitioner | 5050 Crenshaw Rd Ste 100, Pasadena, TX 77505-3139 | 2014-06-12 |
| 1194765743 | Durga Prasad Sunkara | Internal Medicine | 5050 Crenshaw Rd Ste 100, Pasadena, TX 77505 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
| 1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
| 1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
| Find all providers in zip 77505 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1285745141 | Pasadena Mri & Diagnostic Lp | Clinic/Center | 3692 E Sam Houston Pkwy S Ste 200, Pasadena, TX 77505-3136 | 2006-08-31 |
| 1326464967 | Gian S Bedi Md Pa | Clinic/Center | 3332 Plainview St, Pasadena, TX 77504-1906 | 2014-03-06 |
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| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
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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.