Prime Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIME MEDICAL GROUP

Practice address

515 Broad Ave
Belle Vernon, PA 15012-1405

Phone

(724) 929-6700

NPI assigned

Jul 21, 2006

Last updated

Jan 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen A Hornbake

Title

Medical Biller

Phone

(724) 929-4930

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Prime Medical Chauhan and Assoc Other name

Tax ID family

Prime Medical Group Lab5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Prime Medical Group

  • Internal Medicine Physician
  • Belle Vernon, PA
  • NPI 1235171570
  NPD tax ID
• Prime Medical Group

  • Family Medicine Physician
  • Clairton, PA
  • NPI 1356528152
  NPD tax ID
• Prime Medical Group PC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1477597219
  NPD tax ID
• Prime Medical Group PC

  • Internal Medicine Physician
  • Belle Vernon, PA
  • NPI 1821029349
  NPD tax ID

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1073534723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 ROSTRAVER RD",
            "address_2": "SUITE 505",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150129655",
            "telephone_number": "724-929-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121405",
            "telephone_number": "724-929-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "HORNBAKE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "724-929-4930"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "692646",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "769210",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007726550009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "331905",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "692541",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Medical Chauhan and Assoc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pittsburgh Healthworx, P.C.
• Erin Podroskey, ATC
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• Joseph Domenick Porreca, D.C.
• Lu Ann Prah, LPC
• Prime Medical Group
• Prime Medical Group PC (Prime Medical Group - Rostraver)
• Prime Medical Group PC (Prime Medical Group - Belle Vernon)
• Prime Medical Group PC
• Prime Medical Group PCG1

• Internal Medicine Physician in Belle Vernon, PA
• Providers in Belle Vernon, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.