PREMIER PEDIATRICS (NPI# 1376527143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376527143 |
| Entity Type | Organization |
| Organization Name | PREMIER PEDIATRICS |
| Practice Address |
1405 Metro Dr Bldg L Alexandria LA 71301-3448 |
| Mailing Address |
Po Box 12610 Alexandria LA 71315-2610 |
| Practice Telephone | 3187671543 |
| Practice Fax Number | 3187671110 |
| Mailing Telephone | 3187671543 |
| Mailing Fax Number | 3187671110 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN L CLARK JR. (OWNER) |
| Authorized Official Telephone | 3187671543 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD021955 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1682136 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417407032 | Premier Pediatrics | Pediatrics | 22318 Ford Rd, Dearborn Heights, MI 48127-2421 | 2016-10-06 |
| 1174970396 | Premier Pediatrics | Pediatrics | 22318 Ford Rd, Dearborn Heights, MI 48127-2421 | 2016-05-17 |
| 1144650714 | Premier Pediatrics | Pediatrics | 224 Chimney Corner Ln, Suite 2032, Jupiter, FL 33458-4800 | 2013-11-19 |
| 1528493137 | Premier Pediatrics | Pediatrics | 7960 Sw 60th Ave, Suite 200, Ocala, FL 34476-6457 | 2013-09-13 |
| 1174723191 | Premier Pediatrics | Pediatrics | 263 7th Ave, Suite 4h, Brooklyn, NY 11215-3689 | 2007-07-18 |
| 1639374473 | Premier Pediatrics | Pediatrics | 10000 W Colonial Dr, Suite 390, Ocoee, FL 34761-3498 | 2007-06-20 |
| 1629194147 | Premier Pediatrics | Pediatrics | 26040 Detroit Rd, Suite 7, Westlake, OH 44145-2481 | 2007-03-22 |
| 1043355449 | Premier Pediatrics | Pediatrics | 705 E Marshall Ave, Suite 1002, Longview, TX 75601-5563 | 2007-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Premier Pediatrics Corp. | 1606 Prairie Center Parkway, Brighton, CO 80601 |
| Washington State Corporations | PREMIER PEDIATRICS PLLC | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 |
| Street Address |
1405 METRO DR BLDG L |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609859040 | John L Clark Jr. | Pediatrics | 1405 Metro Dr, Bldg L, Alexandria, LA 71301-3448 | 2005-11-21 |
| 1598016198 | Jane Ann Bush | Nurse Practitioner | 1405 Metro Dr, Building L, Alexandria, LA 71301-3448 | 2012-09-24 |
| 1033383864 | Gentle Touch Services, Inc | Home Health | 1405 Metro Dr, Suite J-1, Alexandria, LA 71301-3448 | 2008-04-14 |
| 1306019393 | Gentle Touch Services Inc | Home Health | 1405 Metro Dr, Suite J-1, Alexandria, LA 71301-3448 | 2008-04-10 |
| 1205009297 | Gentle Touch Services Inc | Home Health | 1405 Metro Dr, Alexandria, LA 71301-3448 | 2008-04-10 |
| 1508039587 | Gentle Touch Services Inc | Home Health | 1405 Metro Dr, Suite J-1, Alexandria, LA 71301-3448 | 2008-04-10 |
| 1053584177 | Gentle Touch Services Inc | Home Health | 1405 Metro Dr, Suite J-1, Alexandria, LA 71301-3448 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454774 | Jackson Street Pediatrics, LLC | Pediatrics | 5716 Jackson St, Alexandria, LA 71303-2042 | 2020-07-10 |
| 1205221942 | Carlos A. Cruz, Md, PC | Pediatrics | 1707 Osage St Ste 303, Alexandria, VA 22302-2611 | 2015-03-31 |
| 1447508163 | Arnold Jay Zedd | Pediatrics | 2621 Jamestown Lane, #203, Alexandria, VA 22314-5882 | 2012-08-28 |
| 1104102987 | Reynaldo Fraga | Pediatrics | 4518 Seminary Road, Juan R. Fraga M.d., Alexandria, VA 22304 | 2011-10-25 |
| 1144417544 | Chandanjeet Sidhu | Pediatrics | 2616 Sherwood Hall Ln Ste 106, Alexandria, VA 22306-3154 | 2007-09-29 |
| 1780886481 | Cathy Southammakosane | Pediatrics | 1500 N Beauregard St Ste 200, Alexandria, VA 22311-1700 | 2007-06-04 |
| 1215156898 | Rhodes Pediatric Clinic | Pediatrics | 37 Calvert Dr, Alexandria, LA 71303-3520 | 2007-04-24 |
| 1346363769 | Robert Bregman | Pediatrics | 4480 King St., Alex Health Dept, Alexandria, VA 22302 | 2007-04-09 |
| 1013035575 | Emily B Remus | Pediatrics | 1451 Belle Haven Rd Ste 110, Alexandria, VA 22307-1201 | 2007-03-26 |
| 1598880791 | Terri W Cummings | Pediatrics | 3628 Ransom Pl, Alexandria, VA 22306-1473 | 2007-03-20 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
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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.