PREMIER HEALTHCARE OF PLACERVILLE


Address: 1980 Broadway, Placerville, CA 95667-9001
Phone: 5306223536

PREMIER HEALTHCARE OF PLACERVILLE (NPI# 1932345410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932345410
Entity Type Organization
Organization Name PREMIER HEALTHCARE OF PLACERVILLE
Other Organization Name PREMIER HEALTHCARE
Practice Address 1980 Broadway
Placerville
CA 95667-9001
Practice Telephone 5306223536
Practice Fax Number 5306223538
Mailing Telephone 5306223536
Mailing Fax Number 5306223538
Enumeration Date 2009-01-05
Last Update Date 2014-04-28
Authorized Official Name JOHN MOONEY (OWNER)
Authorized Official Telephone 5306223536
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies A55172 CA Suppliers
Y 208VP0000X Pain Medicine
Specialization: Pain Medicine
A55172 CA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Premier Healthcare Doing Business As Name - Organization

Office Location

Street Address 1980 BROADWAY
City PLACERVILLE
State CA
Zip Code 95667-9001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144280587 William Harrison White Physical Therapist 1980 Broadway, Placerville, CA 95667-9001 2006-03-27
1487910956 Premier Health of Placerville Inc Chiropractor 1980 Broadway, Placerville, CA 95667-9001 2012-04-09
1003832338 John M Mooney Chiropractor 1980 Broadway, Placerville, CA 95667-9001 2006-07-13
1881610111 John C Palmer Chiropractor 1980 Broadway, Placerville, CA 95667-9001 2006-07-13
1306862636 Brent M Mooney Chiropractor 1980 Broadway, Placerville, CA 95667-9001 2006-07-13
1295751535 Victoria G Nelson Chiropractor 1980 Broadway, Placerville, CA 95667-9001 2006-07-13
1649207572 John M Mooney, A Chiropractic Corporation Chiropractor 1980 Broadway, Placerville, CA 95667-9001 2006-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053919258 Lacey Etienne Neufeld Nurse Practitioner Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 2020-10-12
1497390041 Summitview Child & Family Services, Inc. Community Based Residential Treatment Facility, Mental Illness 3025 Glee Ln, Placerville, CA 95667 2019-11-07
1225694474 Camille Borba Doula 1212 Lotus Rd, Placerville, CA 95667 2019-05-14
1033610399 Julie Marie Halsall Counselor 2844 Coloma Street, Placerville, CA 95667 2018-02-22
1053839092 County of El Dorado Community/Behavioral Health 3057 Briw Road, Suite A, Placerville, CA 95667 2017-08-30
1982129508 Brent Charles Ulrici Counselor 2986 Colma St, Placerville, CA 95667 2017-08-04
1629464326 Crystal Coury Counselor 5607 Mount Murphy Roas, Garden Valley, CA 95667 2015-04-09
1396141750 Brown and Ghazal Dental Corporation Dentist 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 2014-11-13
1962808402 Laura Ann Curry Counselor 6765 Green Valley Road, Placerville, CA 95667 2014-11-11
1518374453 Kelly Lynn Carson Counselor 2844 Colona St., Placerville, CA 95667 2014-07-11
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Taxonomy Information

Taxonomy Code 208VP0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Pain Medicine

Taxonomy Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Notes: Source: American Academy of Pain Medicine, www.painmed.org
- Additional Resources:The American Board of Pain Medicine provides Board Certification.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144821752 Pacific Advanced Surgical Services Pain Medicine 191 Lynch Creek Way Ste 101, Petaluma, CA 94954-2389 2020-11-02
1376140152 Tania Faruque M.d. P.C. Pain Medicine 255 N Elm St Ste 101, Escondido, CA 92025-3431 2020-10-05
1578199147 Pinnacle Pain & Regenerative Medicine Inc Pain Medicine 24452 Health Center Dr, Laguna Hills, CA 92653-3604 2020-03-16
1396376745 Michael Truong, Md Pain Medicine 10900 Warner Ave Ste 101b, Fountain Valley, CA 92708-3846 2020-02-03
1013554930 Algos Inc., A Medical Corporation Pain Medicine 1325 E Cooley Dr Ste 101, Colton, CA 92324-3966 2019-12-10
1649823964 Bolt Surgery Center, LLC Pain Medicine 1124 S Main St Ste 102, Corona, CA 92882-4449 2019-07-17
1730649799 Niamedic Bh PC Pain Medicine 24411 Health Center Dr Ste 330, Laguna Hills, CA 92653-3633 2019-03-24
1174097612 Southern California Regenerative Medical Inc Pain Medicine 2111 S El Camino Real Ste 200, Oceanside, CA 92054-9000 2019-01-17
1215404132 Haven Orthopedics & Spine Institute Inc Pain Medicine 10390 Commerce Center Dr Ste C100, Rancho Cucamonga, CA 91730-5858 2018-10-29
1700387347 Paul Kim Md Inc. Pain Medicine 1771 W Romneya Dr Ste H, Anaheim, CA 92801-1817 2018-02-27
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Competitor

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City PLACERVILLE
Zip Code 95667

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Dataset Information

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.

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