PREMIER FAMILY CARE (NPI# 1417244500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417244500 |
| Entity Type | Organization |
| Organization Name | PREMIER FAMILY CARE |
| Practice Address |
2501 W Illinois Ave Ste E Midland TX 79701-6436 |
| Practice Telephone | 4326866680 |
| Practice Fax Number | 4326866690 |
| Mailing Telephone | 4326866680 |
| Mailing Fax Number | 4326866690 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |
| Authorized Official Name | LEAH BEJIL (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4326866600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
794392 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201988 | Premier Family Care | Home Health | 4164 Napoli Lake Dr, West Palm Beach, FL 33410-7503 | 2020-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | PREMIER FAMILY CARE, P.C. | 23930 E 147th, Coweta, OK 74429 |
| Street Address |
2501 W ILLINOIS AVE STE E |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-6436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522864 | Premier Family Care I, Inc | Anesthesiology | 2501 W Illinois Ave, Suite C, Midland, TX 79701-6436 | 2005-10-17 |
| 1770196255 | Nathan Alexander Woods | Physical Therapist | 2501 W Illinois Ave, Midland, TX 79701-6436 | 2020-08-25 |
| 1366906356 | Jennifer Hulett | Physical Therapist | 2501 W Illinois Ave, Midland, TX 79701-6436 | 2019-01-24 |
| 1629460043 | Joseph Wark | Physical Therapy Assistant | 2501 W Illinois Ave, Midland, TX 79701-6436 | 2015-02-22 |
| 1740693829 | Bruce Welborn | Physical Medicine & Rehabilitation | 2501 W Illinois Ave, Midland, TX 79701-6436 | 2014-06-06 |
| 1740551449 | Laboratory Corporation of America | Clinical Medical Laboratory | 2501 W Illinois Ave, Ste E, Midland, TX 79701-6436 | 2012-01-26 |
| 1881965648 | Audra Shay Leonard | Physician Assistant | 2501 W Illinois Ave, Suite E, Midland, TX 79701-6436 | 2012-01-25 |
| 1316241995 | Premier Physicians | Physician Assistant | 2501 W Illinois Ave, Suite E, Midland, TX 79701-6436 | 2010-12-22 |
| 1083849152 | Midland Orthopedic Specialists Group | Orthopaedic Surgery | 2501 W Illinois Ave, Suite C, Midland, TX 79701-6436 | 2009-05-19 |
| 1366539900 | Daniel Nelson Md Pa | Orthopaedic Surgery | 2501 W Illinois Ave, Suite D, Midland, TX 79701-6338 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170732 | Infinity Health and Wellness LLC | Nurse Practitioner | 1028 Andrews Hwy Ste G, Midland, TX 79701-3815 | 2020-10-02 |
| 1659984771 | Amy Pennington | Nurse Practitioner | 5710 San Miguel Ave, Midland, TX 79705-2226 | 2020-08-28 |
| 1821607219 | Alena Vladimirovna Turner | Nurse Practitioner | 1210 Cedar Creek Rd, Midland, TX 79705-4471 | 2020-07-30 |
| 1235748880 | Emily Brooke Combs | Nurse Practitioner | 10100 E County Road 103, Midland, TX 79706-5494 | 2020-07-29 |
| 1154949378 | Sheila Shepherd | Nurse Practitioner | 2505 Goddard Dr, Midland, TX 79705-3308 | 2020-07-14 |
| 1073149464 | Stephanie Parker Black | Nurse Practitioner | 1101 W Illinois Ave, Midland, TX 79701-6156 | 2020-03-17 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1205477874 | Justin Shanks | Nurse Practitioner | 1218 Century Dr, Midland, TX 79703-6914 | 2019-10-03 |
| 1265081616 | Stephanie Crawford | Nurse Practitioner | 3408 W County Road 185, Midland, TX 79706-7843 | 2019-09-09 |
| 1548819048 | Stella Elizabeth May | Nurse Practitioner | 1101 E County Road 128, Midland, TX 79706-6521 | 2019-09-06 |
| Find all providers in MIDLAND | ||||
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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.