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Contact Information

PREMIER MEDICAL GROUP PC
31 STRAWBERRY HILL AVE
STAMFORD, CT06902-2608
 Phone: 203-325-8888
 Fax: 203-359-2344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Acupuncturist

171100000X
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PREMIER MEDICAL GROUP PC

NPI Number 1710139936
LBN Legal business name PREMIER MEDICAL GROUP PC
Authorized official JOHN RODIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2008
Last updated 10/21/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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