Premier Physician Group, Llc

LBN: Premier Physician Group, Llc
Premier Physician Group, Llc is an health care organization with primary practice located at 6430 Rockledge Drive Suite 470, Bethesda MD 20817. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Hospitalist, Speech, Language and Hearing Service Providers / Audiologist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Premier Physician Group, Llc can be contacted via phone (301) 896-6931, or through Poffenroth, Matthew G via phone (301) 896-6900.

Contact Information

Primary practice address
6430 Rockledge Drive Suite 470 Bethesda MD 20817
Fax: (301) 581-0077
Website:
Authorized official contact:
Name: Poffenroth, Matthew G

Profile Details

NPI number 1801064704
LBN Legal business name Premier Physician Group, Llc
DBA Doing business as
Authorized official Poffenroth, Matthew G
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2008
Last updated Nov 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801064704 NPPES
Maryland MEDICAID 415096100

Popular Providers