NPIMap

Organization Active NPI

Preferred Primary Care Physicians

Doing business as PPCP Jacob Murphy Lane

  • Specialist
  • Uniontown, PA
National Provider Identifier
1073664769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PREFERRED PRIMARY CARE PHYSICIANS
Doing business as
PPCP Jacob Murphy Lane
Practice address
202 Jacob Murphy LN
Suite 201
Uniontown, PA 15401-2686
Phone
(724) 437-1109
NPI assigned
Jan 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Lutz
Title
Executive Director
Phone
(412) 531-2902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

202 Jacob Murphy LN
Suite 201
Uniontown, PA 15401-2686

Mailing address

202 Jacob Murphy LN
Suite 201
Uniontown, PA 15401-2686
Phone (724) 437-1109

Other identifiers 3

IdentifierTypeStateIssuer
0011227500003MedicaidPA
1014646700001MedicaidPA
0011129500004MedicaidPA

Other names 1

  • PPCP Jacob Murphy Lane Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040102000049 PA Part B Supplier - Clinic/Group Practice 8527967256 Receives reassigned benefits from 120 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pittsburgh, PA; Presto, PA; Uniontown, PA; Washington, PA; MC Murray, PA; Carnegie, PA; Munhall, PA; Bethel Park, PA…

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory
Tax ID family
PPCP PCC26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073664769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 JACOB MURPHY LN",
            "address_2": "SUITE 201",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012686",
            "telephone_number": "724-437-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 JACOB MURPHY LN",
            "address_2": "SUITE 201",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012686",
            "telephone_number": "724-437-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PRIMARY CARE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "412-531-2902"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011227500003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014646700001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011129500004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPCP Jacob Murphy Lane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.