PREMIER MEDICAL ASSOCIATES, LLC (NPI# 1306105655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306105655 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL ASSOCIATES, LLC |
| Practice Address |
4050 Healthway Dr Suite 140 Aurora IL 60504-8183 |
| Practice Telephone | 6303183355 |
| Practice Fax Number | 6307019277 |
| Mailing Telephone | 6303183355 |
| Mailing Fax Number | 6307019277 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-08-03 |
| Authorized Official Name | DR. ALICE MARIE RUPP (OWNER) |
| Authorized Official Telephone | 6303183355 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209006778 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | 00303608379601 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4050 HEALTHWAY DR SUITE 140 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-8183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679595086 | Alice M Rupp | Internal Medicine | 4050 Healthway Dr, Suite 140, Aurora, IL 60504-8183 | 2006-07-24 |
| 1922256239 | Dr. Sharon Rovenstine, Optometrist, P.C. | Optometrist | 4050 Healthway Dr, Suite 100, Aurora, IL 60504-8183 | 2008-08-29 |
| 1578719308 | Associated Optical | Optometrist | 4050 Healthway Dr, Suite 100, Aurora, IL 60504-8183 | 2008-08-12 |
| 1750570685 | Midwest Nephrology Consultants S.c. | Internal Medicine | 4050 Healthway Dr, Suite# 200, Aurora, IL 60504-8183 | 2007-10-16 |
| 1326232406 | Jennifer M Morrison | Nurse Practitioner | 4050 Healthway Dr, Suite 140, Aurora, IL 60504 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1982051017 | Senuri Layer | Internal Medicine | 2357 Sequoia Dr, Aurora, IL 60506 | 2016-05-18 |
| 1881056323 | Robert William Lentz | Internal Medicine | 12801 E. 17th Avenue 8101, 8th Floor, Ms 8117, Aurora, CO 80045 | 2016-03-23 |
| 1114306669 | Layla Abushamat | Internal Medicine | 12801 E 17th Ave Rm 7103, Aurora, CO 80045 | 2015-05-28 |
| 1912386582 | Carly E Hurley | Internal Medicine | Va Eastern Health Care Systems, 1700 North Wheeling Street, Aurora, CO 80045 | 2015-05-28 |
| 1306223656 | Shah Medical LLC | Internal Medicine | 6337 S Ider Way, Aurora, CO 80016-4280 | 2015-05-06 |
| 1285021147 | Erin Elizabeth Finn | Internal Medicine | 13123 E 16th Ave # B265, Aurora, CO 80045 | 2015-04-18 |
| 1366836256 | Lindsay Forbes | Internal Medicine | 12700 E 19th Avenue Rc2 9th Floor, University of Colorado Anschutz Div Pulm Crit Care, Aurora, CO 80045 | 2015-03-27 |
| 1205220779 | Eleanor Christine Floyd | Internal Medicine | 13123 E 16th Ave # B32, Aurora, CO 80045-7106 | 2015-03-23 |
| 1013309277 | Joshua Champion | Internal Medicine | 12631 E. 17th Ave, Ste. 2001, Mail Stop 8202, Aurora, CO 80045 | 2015-02-25 |
| Find all providers in AURORA | ||||
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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.