PREMIER MEDICAL ASSOCIATES NPI 1366656456

NPI Information

  • NPI: 1366656456
  • Provider Name: PREMIER MEDICAL ASSOCIATES
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 22D0972590
  • Address: 422 WORCESTER ST
    SUITE 105
    WELLESLEY, MA
    ZIP 02481
  • Phone: (781) 431-0002

Map and Directions

Get Directions

NPI Details

PREMIER MEDICAL ASSOCIATES is a general practice in Wellesley, MA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREMIER MEDICAL ASSOCIATES NPI is 1366656456. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

422 WORCESTER ST
SUITE 105
WELLESLEY, MA
ZIP 02481-341
Phone: (781) 431-0002

The provider's authorized official is Dianne C Quibell .
The authorized official title is Owner and has the following contact phone number (781) 431-0002.

The CLIA number assigned to this NPI record is 22D0972590 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice76537MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI