Active NPI
Central PA Primary Carellc
- Medical Physician Assistant
- Altoona, PA
National Provider Identifier
1053279661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Legal business name
- CENTRAL PA PRIMARY CARELLC
- Practice address
- 914 S 12TH St
Altoona, PA 16602-6247 - Phone
- (814) 201-2309
- Fax
- (814) 201-2389
- NPI assigned
- Jan 13, 2026
- Last updated
- Jan 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ziad Khoury, MD, FACC
- Title
- Owner
- Phone
- (814) 201-2309
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
914 S 12TH St
Altoona, PA 16602-6247
Mailing address
914 S 12TH St
Altoona, PA 16602-6247
Phone (814) 201-2309
Other practice location 1
350 Birch St
Patton, PA 16668-1138
Phone (814) 201-2309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Altoona, PA
- NPI 1457357295
-
- Medical Physician Assistant
- Patton, PA
- NPI 1043573298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768262400000",
"number": "1053279661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 S 12TH ST",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166026247",
"telephone_number": "814-201-2309",
"fax_number": "814-201-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 S 12TH ST",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166026247",
"telephone_number": "814-201-2309",
"fax_number": "814-201-2389"
}
],
"practiceLocations": [
{
"address_1": "350 Birch St",
"address_purpose": "LOCATION",
"city": "Patton",
"state": "PA",
"postal_code": "166681138",
"country_code": "US",
"telephone_number": "814-201-2309",
"fax_number": "814-201-2389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTRAL PA PRIMARY CARELLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-13",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A",
"authorized_official_last_name": "KHOURY",
"authorized_official_first_name": "ZIAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-201-2309",
"authorized_official_credential": "MD, FACC"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
- Center for the Surgical Arts LLC
- Central Orthotic & Prosthetic Co., Inc.
- Central PA Cardiology, LLC (Central PA Physicians Group)
- Central PA Podiatry Associates, PC
- Central PA Podiatry LLC (Central PA Physicians Group)
- Central PA Surgery Center LLC
- Courtney T Chamberlain, PA-C
- Vincent James Chamberlain, OCCUPATIONAL THER
- Chelsey Lynn Chambers, PHARM D
- Pranay Chander, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.