Organization
PREMIER MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RODIS M.D. (PRESIDENT)
(203) 276-7295
Entity
Organization
Contact information
Practice address
31 STRAWBERRY HILL AVE, STAMFORD, CT 06902-2608
(203) 325-8888
(203) 359-2344
Mailing address
31 STRAWBERRY HILL AVE, STAMFORD, CT 06902-2608
(203) 325-8888
(203) 359-2344
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up