Organization Active NPI

Valley Primary Care Associates LLC

  • Internal Medicine Physician
  • Monessen, PA
National Provider Identifier
1154379964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VALLEY PRIMARY CARE ASSOCIATES LLC
Practice address
1295 Grand Blvd
Monessen, PA 15062
Phone
(724) 684-7500
Fax
(724) 684-5744
NPI assigned
May 4, 2006
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
Dana J Keys-Frezzell, MD
Title
Owner
Phone
(724) 684-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1295 Grand Blvd
Monessen, PA 15062

Mailing address

1295 Grand Blvd
Monessen, PA 15062
Phone (724) 684-7500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154379964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 GRAND BLVD",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "15062",
            "telephone_number": "724-684-7500",
            "fax_number": "724-684-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 GRAND BLVD",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "15062",
            "telephone_number": "724-684-7500",
            "fax_number": "724-684-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PRIMARY CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEYS-FREZZELL",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-684-7500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monessen, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.