PRIME MEDICAL GROUP PC (NPI# 1467779421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467779421 |
| Entity Type | Organization |
| Organization Name | PRIME MEDICAL GROUP PC |
| Other Organization Name | PRIME MEDICAL GROUP - BELLE VERNON |
| Practice Address |
515 Broad Ave Belle Vernon PA 15012-1405 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7249296700 |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | KENNY HEINE (SR. DIRECTOR OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD037996L | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Prime Medical Group - Belle Vernon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093036154 | Prime Medical Group PC | Non-Pharmacy Dispensing Site | 1645 Rostraver Rd, Belle Vernon, PA 15012-9655 | 2010-06-11 |
| 1861615452 | Prime Medical Group PC | Internal Medicine | 4455 Town Center Pkwy, Suite A, Flint, MI 48532-3425 | 2007-04-11 |
| 1821029349 | Prime Medical Group PC | Internal Medicine | 1645 Rostraver Rd, Suite 505, Belle Vernon, PA 15012-9655 | 2006-07-05 |
| 1477597219 | Prime Medical Group PC | Internal Medicine | 180 Fort Couch Rd, Suite 275, Pittsburgh, PA 15241-1041 | 2006-06-15 |
| Street Address |
515 BROAD AVE |
| City | BELLE VERNON |
| State | PA |
| Zip Code | 15012-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508821877 | Rajesh Chandrakant Shah | Internal Medicine | 515 Broad Ave, Belle Vernon, PA 15012-1405 | 2006-04-19 |
| 1629091277 | Ashok K Jain | Internal Medicine | 515 Broad Ave, Belle Vernon, PA 15012-1405 | 2006-07-25 |
| 1073534723 | Prime Medical Group | Internal Medicine | 515 Broad Ave, Belle Vernon, PA 15012-1405 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023664174 | Karen A Perry | Technician | 209 Pleasant Valley Blvd, Rostraver Twp, PA 15012 | 2019-08-14 |
| 1033520226 | Shane Patrick Hennessy | Family Medicine | 800 Plaza Dr Ste 400, Belle Vernon, PA 15012 | 2014-05-11 |
| 1427393008 | Kim Pierce | Dietitian, Registered | 810 Morgan St, Belle Vernon, PA 15012 | 2012-12-07 |
| 1639487671 | Kara M Haupricht | Physician Assistant | 860 Rostraver Road, Belle Vernon, PA 15012 | 2010-09-23 |
| 1538398755 | Spencer Miller | Hearing Instrument Specialist | 29 Fayette Street, Belle Vernon, PA 15012 | 2009-07-09 |
| 1972760957 | Mark Current | Pharmacist | 843 Rostraver Rd, Rite Aid #10891, Belle Vernon, PA 15012 | 2008-05-19 |
| 1568683134 | Donald Edward Rowe | Chiropractor | 139 Valley View Drive, Belle Vernon, PA 15012 | 2007-05-01 |
| 1023234127 | John A Marino | Chiropractor | 1112 Fells Church Road, Belle Vernon, PA 15012 | 2007-04-17 |
| 1164548020 | Mark G Boles | Pediatrics | 1112 Fells Church Rd, Belle Vernon, PA 15012 | 2007-03-22 |
| 1861516635 | Julie Myers | Specialist | 800 Willow Drive, Ste 100, Willowpointe Plaza, Belle Vernon, PA 15012 | 2007-03-19 |
| Find all providers in zip 15012 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811275258 | West Newton Family Practice | Non-Pharmacy Dispensing Site | 800 Plaza Dr, 290, Belle Vernon, PA 15012-4019 | 2011-08-03 |
| 1093036154 | Prime Medical Group PC | Non-Pharmacy Dispensing Site | 1645 Rostraver Rd, Belle Vernon, PA 15012-9655 | 2010-06-11 |
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| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | BELLE VERNON |
| Zip Code | 15012 |
Please comment or provide details below to improve the information on PRIME MEDICAL GROUP PC.
| 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.