PREMIER PHYSICIAN PARTNERS PC (NPI# 1366956625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366956625 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICIAN PARTNERS PC |
| Practice Address |
5859 Donovan Ln Ellicott City MD 21043-6903 |
| Practice Telephone | 7032821796 |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2017-11-24 |
| Authorized Official Name | DR. ADNAN RAHMAN KHAN (PRESIDENT) |
| Authorized Official Telephone | 7032821796 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZH0000X |
Pathology Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZM0300X |
Pathology Specialization: Medical Microbiology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZN0500X |
Pathology Specialization: Neuropathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0213X |
Pathology Specialization: Pediatric Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
D58291 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAQH PROVIDER ID | 12780303 | 01 |
| MD | CAQH PROVIDER ID | 13721023 | 01 |
| MD | CAQH PROVIDER ID | 10416554 | 01 |
| MD | CAQH PROVIDER ID | 10436137 | 01 |
| MD | CAQH PROVIDER ID | 12542361 | 01 |
| Street Address |
5859 DONOVAN LN |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21043-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242764 | Joyce Melinda Kelly | Social Worker | 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 | 2019-12-12 |
| 1437703972 | Capitol Health Care, LLC | Speech-Language Pathologist | 4115 Sears House Court, Ellicott City, MD 21043 | 2019-08-01 |
| 1851857429 | Carol Ann Mckissick | Counselor | 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 | 2019-02-19 |
| 1659877017 | Tender Touch Healthcare Services LLC | In Home Supportive Care | 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 | 2018-04-04 |
| 1912426099 | Hf & Associates, LLC | Community/Behavioral Health | 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 | 2017-09-11 |
| 1134666779 | Stephanie Jean | Behavioral Analyst | 8762 Town and Country Blvd, Ellicott City, MD 21043 | 2017-01-20 |
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1598139925 | Jun Woo Lee | Chiropractor | 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 | 2015-11-23 |
| 1518338953 | Byron Lam | Chiropractor | 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 | 2015-10-12 |
| 1942682174 | Jea Sub Song | Chiropractor | 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 | 2015-06-24 |
| Find all providers in zip 21043 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1477160984 | Lifebridge Community Physicians Inc | Internal Medicine | 8875 Centre Park Dr Ste D, Columbia, MD 21045-2382 | 2020-09-29 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1093354698 | Urooj Ahmed | Internal Medicine | 11110 Medical Campus Rd Ste 250, Hagerstown, MD 21742-6756 | 2019-12-30 |
| 1588155733 | Maryland Inpatient Specialist LLC | Internal Medicine | 10110 Molecular Dr Ste 109, Rockville, MD 20850-7538 | 2018-05-23 |
| 1750709333 | Alireza Meighani | Internal Medicine | 7501 Surratts Rd Ste 206, Clinton, MD 20735-3373 | 2014-04-01 |
| 1689912677 | Donald Edward Wilson | Internal Medicine | 20 Penn St, Baltimore, MD 21201-1075 | 2013-01-25 |
| 1124374418 | Ruhail Kohli | Internal Medicine | 4940 Eastern Ave Fl 5, Baltimore, MD 21224 | 2012-07-24 |
| 1922364959 | Huimin Yu | Internal Medicine | 600 N Wolfe St Bldg 9, Baltimore, MD 21287-0005 | 2012-04-04 |
| 1700175635 | David Stuart Jencks | Internal Medicine | 820 Bestgate Rd Ste 2a, Annapolis, MD 21401 | 2011-03-31 |
| 1134438575 | Boo Keun Kim, Md, Pa | Internal Medicine | 8921 Shady Grove Court, Gaithersburg, MD 20877-1308 | 2010-10-04 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21043 |
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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.