PRIME MEDICAL GROUP (NPI# 1083856165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083856165 |
| Entity Type | Organization |
| Organization Name | PRIME MEDICAL GROUP |
| Practice Address |
180 Fort Couch Rd Suite 275 Pittsburgh PA 15241-1041 |
| Mailing Address |
515 Broad Ave Belle Vernon PA 15012-1405 |
| Practice Telephone | 4128312288 |
| Practice Fax Number | 4128312679 |
| Mailing Telephone | 7249294930 |
| Mailing Fax Number | 7249294308 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |
| Authorized Official Name | DARLA SETHMAN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7249292640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD037195E | PA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | MD037112E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010652420006 | 05 | |
| PA | 0014701550001 | 05 | |
| PA | HIGHMARK BLUE SHIELD | PENDING | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184083610 | Prime Medical Group | Clinic/Center | 5439 Clayton Rd, Suite B, Clayton, CA 94517-1086 | 2016-02-11 |
| 1922437573 | Prime Medical Group | Clinic/Center | 1452 N Krome Ave, 101-i, Florida City, FL 33034-2440 | 2013-11-04 |
| 1639490790 | Prime Medical Group | Non-Pharmacy Dispensing Site | 1200 Brooks Ln, 110, Clairton, PA 15025-3747 | 2010-06-11 |
| 1356528152 | Prime Medical Group | Family Medicine | 1200 Brooks Ln, Suite 110, Clairton, PA 15025-3747 | 2008-01-24 |
| 1073534723 | Prime Medical Group | Internal Medicine | 515 Broad Ave, Belle Vernon, PA 15012-1405 | 2006-07-21 |
| 1235171570 | Prime Medical Group | Internal Medicine | 1645 Rostraver Rd, Belle Vernon, PA 15012-9655 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PRIME MEDICAL GROUP INC. | 3301 S Malaya Ct, Aurora, CO 80013 |
| Street Address |
180 FORT COUCH RD SUITE 275 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15241-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003886706 | Sandra Jones-gordon | Internal Medicine | 180 Fort Couch Rd, Pittsburgh, PA 15241-1024 | 2006-01-25 |
| 1386298040 | Megan Lee Boyle | Nurse Practitioner | 180 Fort Couch Rd, Pittsburgh, PA 15241-1041 | 2019-07-30 |
| 1710435151 | Jack D Spencer,dmd | Dentist | 180 Fort Couch Rd, St 415, Pittsburgh, PA 15241-1041 | 2016-09-14 |
| 1508230343 | Carly Gerba | Physician Assistant | 180 Fort Couch Rd, Pittsburgh, PA 15241-1041 | 2015-11-17 |
| 1235516485 | Penn Neuromuscular Diagnostics, LLC | Clinic/Center | 180 Fort Couch Rd, Suite 400, Pittsburgh, PA 15241-1041 | 2015-04-27 |
| 1831582584 | Kathy Cramer | Nurse Practitioner | 180 Fort Couch Rd, Suite 304, Pittsburgh, PA 15241-1041 | 2015-03-05 |
| 1477891240 | Cynthia A Slivka | Nurse Practitioner | 180 Fort Couch Rd, Suite 304, Pittsburgh, PA 15241-1041 | 2013-01-29 |
| 1427308204 | Barry Vincent Rodden Jr. | Physical Therapist | 180 Fort Couch Rd, Suite 400, Pittsburgh, PA 15241-1041 | 2012-09-19 |
| 1528314127 | Shannon L Cohen | Physical Therapist | 180 Fort Couch Rd, Suite 400, Pittsburgh, PA 15241-1041 | 2012-08-01 |
| 1538415716 | Francisco Maia | Physical Therapist | 180 Fort Couch Rd, Pittsburgh, PA 15241-1041 | 2012-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526649 | Lea Jean Grondziowski | Pharmacist | 1580 Mclaughlin Run Rd Ste 212, Suite 212, Pittsburgh, PA 15241 | 2020-07-29 |
| 1689185522 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 100 S Hills Village, Pittsburgh, PA 15241 | 2017-10-18 |
| 1578072450 | Joann Mary Seigel | Pharmacist | 410 Carmell Drive, Pittsburgh, PA 15241 | 2017-09-24 |
| 1477973899 | Rebecca E Bollinger | Pharmacist | 201 S Hills Vlg Dr, Pittsburgh, PA 15241 | 2014-04-24 |
| 1457780629 | Christina M Bordick | Physician Assistant | 110 Fort Couch Rd Ste 203, Pittsburgh, PA 15241 | 2013-11-07 |
| 1427315464 | Township of Upper St. Clair | Dietitian, Registered | 1551 Mayview Rd., Pittsburgh, PA 15241 | 2012-04-16 |
| 1568764033 | Embrace The Child, Ltd. | Speech-Language Pathologist | 121 Brookside Blvd, Pittsburgh, PA 15241 | 2010-12-03 |
| 1013218239 | Erin L Heirendt | Counselor | 2585 Washington Rd., Bld 100 Suite 132, Upper St. Clair, PA 15241 | 2010-11-04 |
| 1790927440 | Mary Anne Gloninger Christ | Psychologist | 1700 N Highland Ave, Suite 103, Pittsburgh, PA 15241 | 2009-03-26 |
| 1629228325 | Lynne Logan | Marriage & Family Therapist | 1725 Wahington Road, #509, Pittsburgh, PA 15241 | 2008-09-30 |
| Find all providers in zip 15241 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558976092 | Upmc Community Medicine, Inc | Internal Medicine | 5215 Centre Ave Ste 100, Pittsburgh, PA 15232-1303 | 2020-09-11 |
| 1609485168 | Allegheny Clinic | Internal Medicine | 1748 Jancey Street, Pittsburgh, PA 15206-1100 | 2020-07-30 |
| 1942818703 | Abraham Attah | Internal Medicine | 307 Federal Street, Suite B300, Pittsburgh, PA 15212 | 2020-07-17 |
| 1508491333 | Gabriel Perez Feliu | Internal Medicine | 5140 Liberty Ave Ste 150, Pittsburgh, PA 15224-2215 | 2020-03-12 |
| 1720627623 | St Clair Medical Services Inc | Internal Medicine | 1050 Bower Hill Rd Ste 301, Pittsburgh, PA 15243-1869 | 2019-12-26 |
| 1538701347 | Ann Elizabeth Patterson | Internal Medicine | 5700 Corporate Drive Suite 410, Pittsburgh, PA 15237 | 2019-10-14 |
| 1124582960 | William Paul Cunningham | Internal Medicine | Va Hospital, University Drive, University Drive, Pittsburgh, PA 15240 | 2019-01-25 |
| 1639663487 | Preferred Primary Care Physicians, Inc. | Internal Medicine | 2100 Jane St Ste 200, Pittsburgh, PA 15203-2076 | 2018-06-15 |
| 1710499868 | Preferred Primary Care Physicians, Inc. | Internal Medicine | 2100 Jane St Ste 201, Pittsburgh, PA 15203-2076 | 2017-10-30 |
| 1457881849 | Corinne Fanelli | Internal Medicine | 5200 Centre Ave Ste 409, Pittsburgh, PA 15232-1302 | 2017-06-18 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15241 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.