Organization
PREMIER PHYSICIAN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW G POFFENROTH (PRESIDENT / CEO)
(301) 896-6900
Entity
Organization
Contact information
Practice address
6430 ROCKLEDGE DRIVE, SUITE 470, BETHESDA, MD 20817
(301) 896-6931
(301) 581-0077
Mailing address
PO BOX 791372, BALTIMORE, MD 21279-1372
(301) 896-6931
(301) 581-0077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415096100
—
MD
Enumeration date
02/13/2008
Last updated
11/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us