MEDICARE: PREMIER PHYSICIANS CENTERS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1023693215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER PHYSICIANS CENTERS INC.

Provider Business Mailing Address
First Line	:	24500 CENTER RIDGE RD STE 375
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-5631
Country	:	US
Telephone Number	:	440-467-1954
Fax Number	:

Provider Business Practice Location Address
First Line	:	2709 FRANKLIN BLVD FL 2E
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-2993
Country	:	US
Telephone Number	:	216-696-4140
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	CHARLES MICA
Credential	:
Telephone Number	:	440-895-5057

Provider Enumeration Date	:	03/10/2021
Last Update Date	:	03/10/2021

Similar Medicare Providers

1609843820 — RAJESH SHARMA MD
Practice Location Address:

2709 FRANKLIN BLVD , SUITE 2E
CLEVELAND, OH
44113-2993

Practice Phone: 216-363-5720
Practice Fax: 216-363-5721

1396838231 — FAIRVIEW HOSPITAL
Practice Location Address:

2709 FRANKLIN BLVD , SUITE 4C
CLEVELAND, OH
44113-2993

Practice Phone: 440-333-3332
Practice Fax:

1578987376 — PREMIER PHYSICIANS CENTERS, INC.
Practice Location Address:

2709 FRANKLIN BLVD , SUITE 2E
CLEVELAND, OH
44113-2993

Practice Phone: 216-227-2194
Practice Fax: 216-227-2196

1750263216 — CELIN CARABALLO LLC
Practice Location Address:

2709 FRANKLIN BLVD FL 2E
CLEVELAND, OH
44113-2993

Practice Phone: 216-696-4140
Practice Fax:

1457870941 — TIERA CROSS
Practice Location Address:

1730 W 25TH ST
CLEVELAND, OH
44113-3170

Practice Phone: 216-696-4300
Practice Fax:

1952070229 — SARAH LYNNE MILES
Practice Location Address:

1810 W 25TH ST UNIT 1
CLEVELAND, OH
44113-3184

Practice Phone: 216-685-9975
Practice Fax:

Directions to “PREMIER PHYSICIANS CENTERS INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.