PREMIER MEDICAL GROUP, LLC (NPI# 1982903670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982903670 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL GROUP, LLC |
| Other Organization Name | SUSAN SVIENTEK, M.D. |
| Practice Address |
1300 Franklin Ave Suite 270 Normal IL 61761-3592 |
| Practice Telephone | 3098889900 |
| Practice Fax Number | 3098889919 |
| Mailing Telephone | 3098889900 |
| Mailing Fax Number | 3098889919 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | MR. JOHN HESSE (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Telephone | 3096626200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Susan Svientek, M.D. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639468788 | Premier Medical Group, LLC | Obstetrics & Gynecology | 1505 Eastland Dr Ste 500, Bloomington, IL 61701-7905 | 2011-03-29 |
| 1427357227 | Premier Medical Group, LLC | Urology | 1401 Eastland Dr Ste B, Bloomington, IL 61701-3514 | 2011-03-18 |
| 1942501978 | Premier Medical Group, LLC | Family Medicine | 2102 E Washington St, Bloomington, IL 61701-4321 | 2010-11-08 |
| 1275825432 | Premier Medical Group, LLC | Orthopaedic Surgery | 2005 Jacobssen Dr, Suite A, Normal, IL 61761-6287 | 2011-05-06 |
| 1184913881 | Premier Medical Group, LLC | Obstetrics & Gynecology | 1300 Franklin Ave, Suite 360, Normal, IL 61761-3592 | 2011-04-04 |
| 1891084653 | Premier Medical Group, LLC | Obstetrics & Gynecology | 107 N Regency Dr, Bloomington, IL 61701-3505 | 2011-04-01 |
| 1841589835 | Premier Medical Group, LLC | Internal Medicine | 1302 Franklin Ave, #4800, Normal, IL 61761-3551 | 2011-03-31 |
| 1720377690 | Premier Medical Group, LLC | Surgery | 1537 Fort Jesse Rd, Suite A, Normal, IL 61761-6192 | 2011-03-31 |
| 1487943593 | Premier Medical Group, LLC | Plastic Surgery | 1505 Eastland Dr, Suite 350, Bloomington, IL 61701-3534 | 2011-03-30 |
| 1497054720 | Premier Medical Group, LLC | Podiatrist | 1512 W Reynolds St Ste A, Pontiac, IL 61764-9788 | 2011-03-25 |
| Street Address |
1300 FRANKLIN AVE SUITE 270 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-3592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422663 | Timothy J Buffey | Family Medicine | 1300 Franklin Ave, Suite 100, Normal, IL 61761-3592 | 2005-07-26 |
| 1184117038 | Paul Jene Gustin | Neurological Surgery | 1300 Franklin Ave, Normal, IL 61761-3592 | 2018-06-14 |
| 1093174690 | Jessica Sinks | Nurse Practitioner | 1300 Franklin Ave, Suite 380, Normal, IL 61761-3592 | 2016-02-11 |
| 1720460025 | Matthew James Putty | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2015-06-23 |
| 1508247370 | Michael Young | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2015-06-17 |
| 1639585920 | John Christopher Hawkins II | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2014-07-07 |
| 1154736452 | Summer Mustafa Hassan | Family Medicine | 1300 Franklin Ave, Suite #110, Normal, IL 61761-3592 | 2014-06-25 |
| 1861807174 | Evan Krueger | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2014-06-25 |
| 1982045209 | Gurpreet Singh | Internal Medicine | 1300 Franklin Ave, Suite 380, Normal, IL 61761-3592 | 2013-07-15 |
| 1861756728 | Daniel William Gibson | Family Medicine | 1300 Franklin Ave, Pob Suite #100, Normal, IL 61761-3592 | 2012-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162210 | Clair L Casagrande | Obstetrics & Gynecology | 1300 Franklin Ave Ste 330, Normal, IL 61761-4204 | 2020-10-23 |
| 1134398225 | Susan Svientek, Md, Sc | Obstetrics & Gynecology | 1302 Franklin Avenue Suite, Suite 2200, Normal, IL 61761-6500 | 2008-02-22 |
| 1669506812 | Patricia I Ristic | Obstetrics & Gynecology | 1300 Franklin Ave 270, Normal, IL 61761-3691 | 2007-03-16 |
| 1619974227 | Nona P Fulk | Obstetrics & Gynecology | 1300 Franklin Ave Ste 360, Normal, IL 61761-4204 | 2005-06-29 |
| 1942592118 | Heart of Illinois Obstetrics and Gynecology, S.c. | Obstetrics & Gynecology | 1302 Franklin Ave Ste 2800, Normal, IL 61761-6526 | 2011-05-06 |
| 1184913881 | Premier Medical Group, LLC | Obstetrics & Gynecology | 1300 Franklin Ave, Suite 360, Normal, IL 61761-3592 | 2011-04-04 |
| 1063745883 | Nona Fulk, M.d., S.c. | Obstetrics & Gynecology | 1300 Franklin Ave, Suite 360, Normal, IL 61761-3592 | 2009-09-11 |
| 1568694594 | Galvan Ob/gyn & Associates LLC | Obstetrics & Gynecology | 1300 Franklin Ave, Suite 330, Normal, IL 61761-3592 | 2009-08-08 |
| 1235360199 | Rachel Marie Hatfield Dalton | Obstetrics & Gynecology | 1302 Franklin Ave Ste 2800, Normal, IL 61761-6526 | 2009-07-27 |
| 1093956815 | Jared K Zotz | Obstetrics & Gynecology | 1302 Franklin Ave Ste 2800, Normal, IL 61761 | 2009-03-09 |
| Find all providers in NORMAL | ||||
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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.