PREMIER PROFESSIOAL GROUP, LLC (NPI# 1841709458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841709458 |
| Entity Type | Organization |
| Organization Name | PREMIER PROFESSIOAL GROUP, LLC |
| Other Organization Name | BE THE GAP |
| Practice Address |
5025 Glendale Ave Toledo OH 43614-1855 |
| Mailing Address |
3806 Driftwood Rd Toledo OH 43614-3435 |
| Practice Telephone | 4195096776 |
| Mailing Telephone | 4195096776 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |
| Authorized Official Name | MR. DAVID L BUSH (FOUNDER/CEO) |
| Authorized Official Telephone | 4195096776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Be The GAP | Doing Business As Name - Organization |
| Street Address |
5025 GLENDALE AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43614-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588161343 | Jordan Christopher King | Counselor | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2018-04-09 |
| 1134629959 | Julieta Rashaun Flowers | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2018-02-19 |
| 1538673728 | Lesean Shaw | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2017-11-27 |
| 1922517564 | Chalise Morris | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2017-09-27 |
| 1538678149 | Cleo R Mcneal | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2017-09-26 |
| 1255840872 | Rochelle E Bush | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2017-09-26 |
| 1396254900 | David Bush | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1902417926 | Heather Louise Perne | Nurse Practitioner | The University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 | 2020-08-13 |
| 1750910188 | Joseph Nabil Said Kamel | Student in an Organized Health Care Education/Training Program | 3120 Glendale Ave Ste L, Toledo, OH 43614 | 2020-04-07 |
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1154983120 | Yong Woo Jeon | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614 | 2019-06-30 |
| 1093372096 | Anwer Aldhaheri | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Ms 1095, Dowling Hall, Room 2153a, Toledo, OH 43614 | 2019-05-24 |
| 1073090205 | Syed Fahmeed Imam | Student in an Organized Health Care Education/Training Program | Ruppert Health Center, 3125 Transvers Dr, Toledo, OH 43614 | 2018-07-20 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| Find all providers in zip 43614 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1043633340 | Mckinney V Parrish | Social Worker | 2913 S Republic Blvd, Toledo, OH 43615-1911 | 2014-01-23 |
| 1548742919 | Fanell Williams | Social Worker | 1219 Jefferson Ave, Toledo, OH 43604-5836 | 2018-09-03 |
| 1538673728 | Lesean Shaw | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2017-11-27 |
| 1538678149 | Cleo R Mcneal | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2017-09-26 |
| 1255840872 | Rochelle E Bush | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2017-09-26 |
| 1396254900 | David Bush | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2017-09-26 |
| 1871995035 | Andre Somoza | Social Worker | 321 Se 3rd St, Toledo, OR 97391-1613 | 2014-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1295335800 | Blake Stuckey | Social Worker | 1750 Ansel Rd Apt 511, Cleveland, OH 44106-4103 | 2020-11-01 |
| 1659917029 | Cherisse Nicole Parrish | Social Worker | 6098 Pawnee Dr, Cincinnati, OH 45224-2312 | 2019-11-20 |
| 1821556697 | Joshua Micheal Perkins | Social Worker | 508 E Buchtel Ave Apt 3a, Akron, OH 44304-1950 | 2019-03-11 |
| 1780184580 | Shanae Thomas | Social Worker | 872 Mayfield Dr, Youngstown, OH 44512-6460 | 2018-02-19 |
| 1053811851 | Vakeyla Merriweather | Social Worker | 540 E Liberty St, Youngstown, OH 44505-1544 | 2018-02-19 |
| 1912414095 | Carlo Anthony Deascentis | Social Worker | 731 S Hazelwood Ave, Youngstown, OH 44509-2233 | 2018-01-10 |
| 1124560347 | Danielle Baker | Social Worker | 2452 N High St, Apt 6, Columbus, OH 43202-2961 | 2016-11-07 |
| 1336696442 | Chelsea Alise Freeman | Social Worker | 1051 E. Street, Lorain, OH 44052-2106 | 2016-09-07 |
| 1659825040 | Ashley Swiger | Social Worker | 1824 Parkford Ln, Columbus, OH 43229-7084 | 2016-08-15 |
| 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.