PREMIUM QUALITY NP, LLC (NPI# 1891303764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891303764 |
| Entity Type | Organization |
| Organization Name | PREMIUM QUALITY NP, LLC |
| Practice Address |
555 Springbrook Dr Medina OH 44256-3651 |
| Mailing Address |
5155 Buehlers Dr Ste 108 Medina OH 44256-5388 |
| Practice Telephone | 3304610914 |
| Mailing Telephone | 3304610914 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | DR. YATISH GOYAL (MEMBER) |
| Authorized Official Telephone | 3304610914 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
555 SPRINGBROOK DR |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962459024 | Medina Village Retirement Community, Ltd | Skilled Nursing Facility | 555 Springbrook Dr, Medina, OH 44256-3651 | 2006-05-27 |
| 1942676556 | Sanctuary Medina LLC | Skilled Nursing Facility | 555 Springbrook Dr, Medina, OH 44256-3651 | 2015-08-18 |
| 1811145055 | Dawn Elaine Nilsson | Physical Therapy Assistant | 555 Springbrook Dr, Medina, OH 44256-3651 | 2008-08-29 |
| 1457509721 | Michelle Lynne Drake | Occupational Therapy Assistant | 555 Springbrook Dr, Medina, OH 44256-3651 | 2008-08-28 |
| 1972759694 | Mary Sarah Hilberg | Speech-Language Pathologist | 555 Springbrook Dr, Medina, OH 44256-3651 | 2008-08-13 |
| 1013122688 | Patricia Lynn Delappi | Occupational Therapist | 555 Springbrook Dr, Medina, OH 44256-3651 | 2007-05-14 |
| 1447462460 | Robin Lynn Kessler | Physical Therapist | 555 Springbrook Dr, Medina, OH 44256-3651 | 2007-05-03 |
| 1639394307 | Jonathan Dean Kopen | Physical Therapy Assistant | 555 Springbrook Dr, Medina, OH 44256-3651 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093237570 | Holly Zienkowski | Nurse Practitioner | 970 E Washington St, Medina, OH 44256-3332 | 2017-07-17 |
| 1760453476 | Nola B Lowther | Nurse Practitioner | 970 East Washington Street, Suite 301, Medina, OH 44256-2174 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756956 | Selena Bruck | Nurse Practitioner | 6230 Hidden Creek Dr, Lorain, OH 44053-4304 | 2020-09-28 |
| 1699382580 | Pamela Dawn Raines | Nurse Practitioner | 4311 Autumn Creek Dr, Springfield, OH 45504-5112 | 2020-09-25 |
| 1275149908 | Allied Onsite Healthcare, LLC | Nurse Practitioner | 5846 Marble Creek St, Dublin, OH 43016-6367 | 2020-09-18 |
| 1780298562 | Bridget Thomas | Nurse Practitioner | 6051 Alexa Ln, Sylvania, OH 43560-3607 | 2020-08-31 |
| 1043823164 | Holly Carol Ostendorf | Nurse Practitioner | 13461 Pearl Rd, Strongsville, OH 44136-3405 | 2020-08-28 |
| 1336759869 | Retha N Strickland | Nurse Practitioner | 10270 Snowflake Ln, Cincinnati, OH 45251-1248 | 2020-08-10 |
| 1841818242 | Your Priorit Heatlh Care | Nurse Practitioner | 1100 Eaton Ave, Hamilton, OH 45013-1403 | 2020-07-12 |
| 1972122513 | Angelina Wong | Nurse Practitioner | 2610 Talmadge Rd, Ottawa Hills, OH 43606-2334 | 2020-04-14 |
| 1316577372 | Jeremy Ford | Nurse Practitioner | 15609 Shirley Ave, Maple Heights, OH 44137-4608 | 2020-01-17 |
| 1134766520 | Anthony Williams | Nurse Practitioner | 4633 Stratford Ln, Columbus, OH 43232-6179 | 2019-12-04 |
| 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.