OrganizationActive
Premier MD
NPI 1093411001 · Family Medicine Physician · Edwardsville, IL
Premier MD is a Family Medicine Physician organization in Edwardsville, IL (NPI 1093411001).
Provider details
- NPI number
- 1093411001
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glenn Skow, Ceo(917) 514-8740
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
15 Sugar Creek Ln
Edwardsville, IL 62025-3322
Phone: (618) 510-9123
Fax: (618) 822-4095
Street-level locationGet directions
Mailing address
15 Sugar Creek Ln
Edwardsville, IL 62025-3322
Registry dates
- Enumerated
- 2023-02-01
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Frequently asked questions
- What is Premier MD's NPI number?
- Premier MD's National Provider Identifier (NPI) is 1093411001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier MD?
- Premier MD is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Premier MD located?
- Premier MD's practice location on file with NPPES is 15 Sugar Creek Ln, Edwardsville, IL 62025-3322.
- What is Premier MD's phone number?
- The practice phone number listed in the NPPES registry for Premier MD is (618) 510-9123.
- Who is the authorized official for Premier MD?
- The authorized official listed on Premier MD's NPPES record is Glenn Skow, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier MD's NPI active?
- Yes — Premier MD's NPI (1093411001) is active in the NPPES registry as of the last update on 2026-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.