PREMIER MEDICAL CARE LLC
NPI 1679974521
Internal Medicine in Windsor, CT

Q: What is Premier Medical Care LLC's NPI number?

The NPI number for Premier Medical Care LLC is 1679974521. It was assigned to this organization in the NPPES registry on September 10, 2014.

Q: What is Premier Medical Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 10, 2014CLIA 07D2084896 · Waiver

340 BROAD ST, SUITE 100, WINDSOR, CT 06095(860) 587-7170(860) 580-7177 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Premier Medical Care Llc NPPES

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

PREMIER MEDICAL CARE LLC (NPI 1679974521) is a healthcare organization registered as an internal medicine in Windsor, Connecticut and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Mohammed A Memon, Director, as its authorized official.

NPPES Registry Identity

NPI1679974521

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePREMIER MEDICAL CARE LLC

Location Address340 BROAD ST, SUITE 100Windsor, CT 06095-3030

Mailing Address340 Broad St, Suite 100Windsor, CT 06095-3030 · (860) 587-7170 · Fax (860) 580-7177

Phone(860) 587-7170

Fax(860) 580-7177

Organization SubpartNo

Authorized OfficialMohammed A MemonDirector · (860) 587-7170

Enumeration DateSeptember 10, 2014

✔ NPI 1679974521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

340 BROAD ST, Windsor, CT 06095

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Other Identifiers 3

Medicare PIN0800014841

Medicaid001425885CT

Medicare UPINI16334

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2084896

Premier Medical Care LLC · Windsor, CT

Active · expires Oct 2, 2026

CLIA Number07D2084896

Laboratory TypePhysician Office

Certificate Effective DateOctober 3, 2024

Certificate Expiration DateOctober 2, 2026

Laboratory DirectorJohnny C. Wright

Laboratory Phone(860) 587-7170

Laboratory LocationPremier Medical Care LLC340 Broad St Suite 100, Windsor, CT 06095

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

STEPHEN W PALLOTTI RPT

Physical Therapist

340 BROAD ST, 1ST FLOOR
WINDSOR, CT 06095

Capitol Planning Region (860) 683-1007

MRS. CHRISTINE ANN DIRIENZO MS CCC-A

Audiologist-Hearing Aid Fitter

340 BROAD ST
WINDSOR, CT 06095

Capitol Planning Region (860) 688-8887

DR. IRENE DIANE MARION DDS

Dentist (General Practice)

340 BROAD ST, SUITE 205
WINDSOR, CT 06095

Capitol Planning Region (860) 285-0323

DR. JEFFREY SCOTT DAVIES M.D.

Internal Medicine

340 BROAD ST, TOTAL MEDICAL CARE
WINDSOR, CT 06095

Capitol Planning Region (860) 688-8888

TOTAL MEDICAL CARE INC

Internal Medicine

340 BROAD ST
WINDSOR, CT 06095

Capitol Planning Region (860) 688-8888

DR. STACEY ANN MUNRO ND

Naturopath

340 BROAD ST, SUITE 300
WINDSOR, CT 06095

Capitol Planning Region (860) 688-2275

KSY HOME LLC

Home Health

340 BROAD ST, SUITE 305
WINDSOR, CT 06095

Capitol Planning Region (860) 580-7151

KATHERINE BURDICK

Marriage & Family Therapist

340 BROAD ST, SUITE 300
WINDSOR, CT 06095

Capitol Planning Region (860) 748-5441

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 Medical Care LLC's NPI number?

The NPI number for Premier Medical Care LLC is 1679974521. It was assigned to this organization in the NPPES registry on September 10, 2014.

Where is Premier Medical Care LLC located?

Premier Medical Care LLC is located at 340 Broad St Suite 100, Windsor, CT 06095. The listed phone number is (860) 587-7170.

What is Premier Medical Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Premier Medical Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2084896) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Medical Care LLC was last updated on September 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.