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PREMIER MEDICAL GROUP, LLC
NPI 1942501978
Surgery in Bloomington, IL

Active since November 08, 2010
1401 EASTLAND DR STE B, BLOOMINGTON, IL 61701(309) 451-1123(309) 451-1212 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Medical Group, Llc NPPES

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

PREMIER MEDICAL GROUP, LLC (NPI 1942501978) is a healthcare organization registered as a surgery in Bloomington, Illinois and active in the NPI registry since November 2010. The organization lists Phil Arthur Mcgowan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1942501978
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePREMIER MEDICAL GROUP, LLC
Location Address1401 EASTLAND DR STE BBloomington, IL 61701-3553
Mailing Address1401 Eastland Dr Ste BBloomington, IL 61701-3553 · (309) 451-1123 · Fax (309) 451-1212
Phone(309) 451-1123
Fax(309) 451-1212
Organization SubpartNo
Authorized OfficialPhil Arthur McgowanAdministrator · (309) 451-1123
Enumeration DateNovember 8, 2010
Last NPPES UpdateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
✔ NPI 1942501978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedUrologyTaxonomy 208800000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
1401 EASTLAND DR STE B, Bloomington, IL 61701
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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

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

PREMIER MEDICAL GROUP, LLC
Urology
1401 EASTLAND DR STE B
BLOOMINGTON, IL 61701
McLean County (309) 663-9424

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 Group, LLC's NPI number?

The NPI number for Premier Medical Group, LLC is 1942501978. It was assigned to this organization in the NPPES registry on November 8, 2010.

Where is Premier Medical Group, LLC located?

Premier Medical Group, LLC is located at 1401 Eastland Dr Ste B, Bloomington, IL 61701. The listed phone number is (309) 451-1123.

What is Premier Medical 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 Medical Group, LLC was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.