Primary Care of Northern Ohio, Limited

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PRIMARY CARE OF NORTHERN OHIO, LIMITED

Practice address

205 W 20TH St
Lorain, OH 44052-3779

Phone

(440) 233-1066

Fax

(440) 246-4320

NPI assigned

Sep 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jill M Barber

Title

Executive Director

Phone

(440) 233-1066

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1043406077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 20TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523779",
            "telephone_number": "440-233-1066",
            "fax_number": "440-246-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 20TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523779",
            "telephone_number": "440-233-1066",
            "fax_number": "440-246-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF NORTHERN OHIO, LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-233-1066",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5281350",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Prendergast, PT, DPT
• Sheila President
• Melissa Preston, LISW
• Diane Marie Presutto, LPN
• Nicholas Price, BA
• Priscilla Ramos
• Adam Pritchett
• Lanie A Prodonovich
• Prosper Behavioral Health Services LLC
• Necola Pruchinsky

• Exclusive Provider Organization in Lorain, OH
• Providers in Lorain, OH by specialty
• Exclusive Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.