Provider Demographics
NPI:1851401889
Name:PREMIER HEART SPECIALISTS
Entity Type:Organization
Organization Name:PREMIER HEART SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-258-7701
Mailing Address - Street 1:241 N 13TH ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3211
Mailing Address - Country:US
Mailing Address - Phone:610-258-7701
Mailing Address - Fax:610-258-7702
Practice Address - Street 1:241 N 13TH ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3211
Practice Address - Country:US
Practice Address - Phone:610-258-7701
Practice Address - Fax:610-258-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACD8098OtherRAILROAD MEDICARE
PACD8098OtherRAILROAD MEDICARE
NJ901227Medicare PIN