PREMIER HOSPITALIST GROUP LLC (NPI# 1699073486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699073486 |
| Entity Type | Organization |
| Organization Name | PREMIER HOSPITALIST GROUP LLC |
| Practice Address |
1301 1st St Kennett MO 63857-2525 |
| Mailing Address |
2909 Independence Street Cape Girardeau MO 63703-5044 |
| Practice Telephone | 5733320052 |
| Practice Fax Number | 5733320007 |
| Mailing Telephone | 5733320052 |
| Mailing Fax Number | 5733320007 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | DR. VISHNU SUBRAMANI (DIRECTOR) |
| Authorized Official Telephone | 5733320052 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 2005005184 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1301 1ST ST |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205883980 | Kennett Hma LLC | Pediatrics | 1301 1st St, Kennett, MO 63857-2525 | 2006-05-28 |
| 1639539141 | Mallory Elizabeth Stith | Nurse Anesthetist, Certified Registered | 1301 1st St, Kennett, MO 63857-2525 | 2016-02-25 |
| 1699141903 | Justin Smith | Nurse Anesthetist, Certified Registered | 1301 1st St, Kennett, MO 63857-2525 | 2015-08-20 |
| 1043692528 | Savannah Coin | Nurse Practitioner | 1301 1st St, Kennett, MO 63857-2525 | 2015-06-22 |
| 1962844522 | Gary Mark Wilson | Nurse Practitioner | 1301 1st St, Kennett, MO 63857-2525 | 2013-07-24 |
| 1073850863 | Missouri Emergency Physician Partners LLC | Emergency Medicine | 1301 1st St, Kennett, MO 63857-2525 | 2013-01-14 |
| 1992067185 | J & M Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1301 1st St, Kennett, MO 63857-2525 | 2012-06-13 |
| 1760707616 | Southern Emergency Services I Plc | Emergency Medicine | 1301 1st St, Kennett, MO 63857-2525 | 2010-04-05 |
| 1619290335 | Southern Emergency Services Pllc | Emergency Medicine | 1301 1st St, Kennett, MO 63857-2525 | 2010-03-09 |
| 1114172111 | Kennett Hma Physician Management, Inc. | Nurse Anesthetist, Certified Registered | 1301 1st St, Kennett, MO 63857-2525 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679987481 | Ziad Sayedahmad | Hospitalist | 3635 Vista Ave Fl 13, Saint Louis, MO 63110-2539 | 2014-06-19 |
| 1063708238 | Ramya Chinnasamy | Hospitalist | 621 S New Ballas Rd Ste 112a, Saint Louis, MO 63141-8252 | 2011-06-25 |
| 1720231483 | Holzum Healthcare LLC | Hospitalist | 2 Progress Point, Ste 101a, O Fallon, MO 63368-2208 | 2008-10-28 |
| 1164688552 | Landmark Hospital of Cape Girardeau, LLC | Hospitalist | 3255 Independence St, Cape Girardeau, MO 63701-4914 | 2008-08-05 |
| 1639235203 | Brian Craig Silverman | Hospitalist | 901 East 5th Street, St. John's Mercy Hospital, Washington, MO 63090 | 2006-12-28 |
| 1093826935 | Northland Hospitalsts LLC | Hospitalist | 3724 N Quincy Circle, Kansas City, MO 64119-0278 | 2006-08-31 |
| 1194779579 | Inpatient Consultants of Missouri Inc | Hospitalist | 12125 Woodcrest Executive Dr, Suite 220, Saint Louis, MO 63141-5001 | 2006-05-20 |
| 1699329086 | Stanley Wade Balch II | Hospitalist | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2019-07-24 |
| 1992362776 | Margaret Fonseca | Hospitalist | 224 S Woods Mill Rd Ste 580, Chesterfield, MO 63017-3513 | 2019-05-28 |
| 1033671243 | Sol Allan Enriquez | Hospitalist | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-04-05 |
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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.