Name: | Premier Medical Group, Professional Corporation |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 11 Jun 2003 (22 years ago) |
Identification Number: | 000132537 |
ZIP code: | 02818 |
County: | Kent County |
Principal Address: | 350 MOOSEHORN ROAD SUITE 200, EAST GREENWICH, RI, 02818, USA |
Purpose: | MEDICAL OFFICE BUSINESS |
NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1457545782 | 2007-08-29 | 2010-09-16 | 400 WARREN AVE, SUITE 01, EAST PROVIDENCE, RI, 029143807, US | 400 WARREN AVE, SUITE 01, EAST PROVIDENCE, RI, 029143807, US | |||||||||||||||||||
|
Phone | +1 401-438-7778 |
Fax | 4014389388 |
Authorized person
Name | DR. MUHAMMAD S AKHTAR |
Role | PRESIDENT |
Phone | 4014387778 |
Taxonomy
Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
License Number | MD09655 |
State | RI |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
PREMIER MEDICAL GROUP RETIREMENT PLAN | 2023 | 371474793 | 2024-07-08 | PREMIER MEDICAL GROUP PROFESSIONAL CORPORATION | 2 | |||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-07-08 |
Name of individual signing | MUHAMMAD AKHTAR |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2021-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 4014387778 |
Plan sponsor’s address | 999 SOUTH BROADWAY, SUITE 200, EAST PROVIDENCE, RI, 02914 |
Signature of
Role | Plan administrator |
Date | 2023-10-04 |
Name of individual signing | MUHAMMAD AKHTAR |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2021-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 4014387778 |
Plan sponsor’s address | 999 SOUTH BROADWAY, SUITE 200, EAST PROVIDENCE, RI, 02914 |
Signature of
Role | Plan administrator |
Date | 2022-07-24 |
Name of individual signing | MUHAMMAD AKHTAR |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
MUHAMMAD S. AKHTAR, MD | Agent | 350 MOOSEHORN ROAD, EAST GREENWICH, RI, 02818, USA |
Name | Role | Address |
---|---|---|
MUHAMMAD SAEED AKHTAR MD | PRESIDENT | 350 MOOSEHORN ROAD EAST GREENWICH, RI 02818 USA |
Name | Role | Address |
---|---|---|
IOLE S RIBIZZI-AKHTAR MD | VICE PRESIDENT | 350 MOOSEHORN ROAD EAST GREENWICH, RI 02818 USA |
Name | Role | Address |
---|---|---|
MUHAMMAD S AKHTAR | OTHER OFFICER | RI 02914 UNI |
Number | Name | File Date |
---|---|---|
202450097720 | Annual Report | 2024-04-03 |
202335214660 | Annual Report | 2023-05-03 |
202214662450 | Annual Report | 2022-04-13 |
202193514810 | Annual Report | 2021-03-01 |
202035778020 | Annual Report | 2020-03-02 |
201987053980 | Annual Report | 2019-02-19 |
201859380840 | Annual Report | 2018-02-28 |
201733749910 | Annual Report | 2017-02-08 |
201693345250 | Annual Report | 2016-02-26 |
201556697340 | Annual Report | 2015-03-08 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State