CCN: 097082 NPI: 1750843496 Organization

Premier Pediatrics LLC

7600 GEORGIA AVE NW STE 323
WASHINGTON, DC 200121616

Contact Information

Phone 2027233060
Fax 2027233065
Enumeration Date 2019-04-02
Last Updated 2019-04-02

Taxonomies

Code: 251F00000X
Code: 208000000X
Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 47894

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 12220

localityCode 01

cbsaActualGeographicLocation 47894

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 12220

localityCode 01

cbsaActualGeographicLocation 47894

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 12220

localityCode 01