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PREMIER PHYSICIAN GROUP, LLC
NPI 1801064704
Surgery in Bethesda, MD

Active since February 13, 2008
6430 ROCKLEDGE DRIVE, SUITE 470, BETHESDA, MD 20817(301) 896-6931(301) 581-0077 Get Directions Write a Review

NPPES record last updated: November 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Physician Group, Llc NPPES

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

PREMIER PHYSICIAN GROUP, LLC (NPI 1801064704) is a healthcare organization registered as a surgery in Bethesda, Maryland and active in the NPI registry since February 2008. The organization lists Matthew G Poffenroth, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1801064704
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePREMIER PHYSICIAN GROUP, LLC
Location Address6430 ROCKLEDGE DRIVE, SUITE 470Bethesda, MD 20817
Mailing AddressPo Box 791372Baltimore, MD 21279-1372 · (301) 896-6931 · Fax (301) 581-0077
Phone(301) 896-6931
Fax(301) 581-0077
Organization SubpartNo
Authorized OfficialMatthew G PoffenrothPresident / Ceo · (301) 896-6900
Enumeration DateFebruary 13, 2008
Last NPPES UpdateNovember 13, 2008
✔ NPI 1801064704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedAudiologistTaxonomy 231H00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
6430 ROCKLEDGE DRIVE, Bethesda, MD 20817
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Other Identifiers 2

Medicare PIN129500DC
Medicaid415096100MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MR. FRANKLIN DEWEY RICHARDS M.D
Plastic Surgery
6430 ROCKLEDGE DRIVE, SUITE 100
BETHESDA, MD 20817
Montgomery County (301) 493-4334
DR. ARTHUR DEAN JABS JR. M.D, PH.D
Plastic Surgery
6430 ROCKLEDGE DRIVE, SUITE 100
BETHESDA, MD 20817
Montgomery County (301) 493-4334
DR. NATASHA KASID M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6430 ROCKLEDGE DRIVE, STE 300
BETHESDA, MD 20817
Montgomery County (301) 468-1451

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 Physician Group, LLC's NPI number?

The NPI number for Premier Physician Group, LLC is 1801064704. It was assigned to this organization in the NPPES registry on February 13, 2008.

Where is Premier Physician Group, LLC located?

Premier Physician Group, LLC is located at 6430 Rockledge Drive Suite 470, Bethesda, MD 20817. The listed phone number is (301) 896-6931.

What is Premier Physician Group, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Premier Physician Group, LLC was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.