PREMIER PEDIATRICS, LLC
NPI 1124449491
Pediatrics in Glen Burnie, MD

Q: What is Premier Pediatrics, LLC's NPI number?

The NPI number for Premier Pediatrics, LLC is 1124449491. It was assigned to this organization in the NPPES registry on January 3, 2014.

Q: What is Premier Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since January 03, 2014

7310 RITCHIE HWY, SUITE 516, GLEN BURNIE, MD 21061(410) 761-7305(410) 761-7387 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Premier Pediatrics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER PEDIATRICS, LLC (NPI 1124449491) is a healthcare organization registered as a pediatrics in Glen Burnie, Maryland and active in the NPI registry since January 2014. The organization lists Shannon Lane West, President, as its authorized official.

NPPES Registry Identity

NPI1124449491

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePREMIER PEDIATRICS, LLC

Location Address7310 RITCHIE HWY, SUITE 516Glen Burnie, MD 21061

Mailing Address7310 Ritchie Hwy, Suite 516Glen Burnie, MD 21061 · (410) 761-7305 · Fax (410) 761-7387

Phone(410) 761-7305

Fax(410) 761-7387

Organization SubpartNo

Authorized OfficialShannon Lane WestPresident · (410) 761-7305

Enumeration DateJanuary 3, 2014

✔ NPI 1124449491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MD · D0057446

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7310 RITCHIE HWY, Glen Burnie, MD 21061

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Other Identifiers 1

Medicaid776200300MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DONALD GARY HEACOCK P.T.

Physical Therapist

7310 RITCHIE HWY, SUITE 500
GLEN BURNIE, MD 21061

Anne Arundel County (410) 766-4435

MR. LYNN ANDREA TOMECK L.C.P.C.

Counselor (Professional)

7310 RITCHIE HWY, EMPIRE TOWERS SUITE 308
GLEN BURNIE, MD 21061

Anne Arundel County (410) 916-1464

JULIE M HOFFMAN M.S. CCC-SLP

Speech-Language Pathologist

7310 RITCHIE HWY
GLEN BURNIE, MD 21061

Anne Arundel County (443) 749-1300

SRIDHAR ATLURI M.D.

Internal Medicine

7310 RITCHIE HWY, SUITE 800
GLEN BURNIE, MD 21061

Anne Arundel County (410) 768-3936

MS. JENNIFIER E STONE PT

Physical Therapist

7310 RITCHIE HWY, SUITE 500
GLEN BURNIE, MD 21061

Anne Arundel County (410) 766-4047

MARY KENNY LCSW-C

Social Worker (Clinical)

7310 RITCHIE HWY
GLEN BURNIE, MD 21061

Anne Arundel County (443) 274-5342

ENOCH SAMRAJ

Physical Therapist

7310 RITCHIE HWY, STE 500
GLEN BURNIE, MD 21061

Anne Arundel County (410) 766-4047

JACKIE LOVE NEIL LCPC

Counselor (Mental Health)

7310 RITCHIE HWY, SUITE 1009
GLEN BURNIE, MD 21061

Anne Arundel County (410) 768-5988

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Pediatrics, LLC's NPI number?

The NPI number for Premier Pediatrics, LLC is 1124449491. It was assigned to this organization in the NPPES registry on January 3, 2014.

Where is Premier Pediatrics, LLC located?

Premier Pediatrics, LLC is located at 7310 Ritchie Hwy Suite 516, Glen Burnie, MD 21061. The listed phone number is (410) 761-7305.

What is Premier Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Premier Pediatrics, LLC was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.