OrganizationActive
Premiere Medical LLC
NPI 1033625983 · Primary Care Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1033625983
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Maureen Tsogbe, President/Owner(301) 908-9136
- License
- 4763 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6877 N Seville Ave
Milwaukee, WI 53209-2645
Phone: (414) 247-9005
Fax: (414) 247-9004
Street-level locationGet directions
Mailing address
Po Box 639
Thiensville, WI 53092-0639
Registry dates
- Enumerated
- 2017-12-14
- Last updated
- 2017-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.