PREMIER MEDICAL AND REHABILITATION GROUP (NPI# 1871812628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871812628 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL AND REHABILITATION GROUP |
| Practice Address |
1121 N Saginaw St Holly MI 48442-1380 |
| Mailing Address |
30500 Northwestern Hwy Ste 316c Farmington Hills MI 48334-3178 |
| Practice Telephone | 2489356646 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Authorized Official Name | BORIS BERKOVICH (SECRETARY) |
| Authorized Official Telephone | 2489356646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1121 N SAGINAW ST |
| City | HOLLY |
| State | MI |
| Zip Code | 48442-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346213360 | Shawn Allan Devary | Chiropractor | 1121 N Saginaw St, Suite 2, Holly, MI 48442-1380 | 2006-02-09 |
| 1881012011 | Holly Vision Source | Optometrist | 1121 N Saginaw St, 1, Holly, MI 48442-1380 | 2014-04-04 |
| 1689770224 | Devary Chiropractic Wellness Center | Chiropractor | 1121 N Saginaw St, Suite 2, Holly, MI 48442-1380 | 2006-09-14 |
| 1518905058 | Valdimir William Boggs | Chiropractor | 1121 N Saginaw St, Suit 2, Holly, MI 48442-1380 | 2006-06-04 |
| 1689623530 | William Boggs P.C. | Chiropractor | 1121 N Saginaw St, Suit 2, Holly, MI 48442-1380 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527195 | Tina Marie Graves | Intermediate Care Facility, Mentally Retarded | 16065 Fish Lake Rd, Holly, MI 48442 | 2018-05-07 |
| 1831627926 | Emily Marie Ulewicz | Occupational Therapist | 10483 Dixie Highway, Holly, MI 48442 | 2017-06-01 |
| 1427411305 | Amy Jacobs | Occupational Therapist | 10293 S Saginaw Rd, Holly, MI 48442 | 2016-03-30 |
| 1912360892 | Kathryn Ann Garza | Occupational Therapist | 10293 S. Saginaw Rd, Holly, MI 48442 | 2016-03-30 |
| 1730502030 | Jonathan Aldric Potvin | Physical Therapist | 10293 Saginaw Rd, Holly, MI 48442 | 2014-01-23 |
| 1558645572 | Jonathan Boutni | Physical Therapist | 10293 Dixie Highway, Suite 0, Holly, MI 48442 | 2011-10-10 |
| 1770875049 | Donald Mackenzie | Pharmacist | 15242 N Holly Rd, Holly, MI 48442 | 2011-05-05 |
| 1235333295 | Michael Martin Katz | Psychologist | 15249 Fish Lake Rd, Holly, MI 48442 | 2007-06-13 |
| 1629114293 | Fred T Phillips | Dentist | 503 S Broad St, Holly, MI 48442 | 2007-01-30 |
| 1053495648 | Rose Hill Center Inc | Community Based Residential Treatment Facility, Mental Illness | 5130 Rose Hill Blvd, Holly, MI 48442 | 2006-10-24 |
| Find all providers in zip 48442 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
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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.