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)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
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: 11 Apr 2025
Sources: Rhode Island Department of State