Prime Medical Associates of North

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

96-01110 Issued in NC

Legal business name

PRIME MEDICAL ASSOCIATES OF NORTH

Practice address

2301 Rexwoods Dr
Suite 118
Raleigh, NC 27607-3366

Phone

(919) 803-1417

Fax

(919) 803-1418

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

John V. Yacono, M.D.

Title

President

Phone

(919) 876-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORTH RALEIGH INTERNAL MEDICINE ASSOCIATES Doing business as

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453507200000",
    "number": "1164559795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99279",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276249279",
            "telephone_number": "919-803-1417",
            "fax_number": "919-803-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 REXWOODS DR",
            "address_2": "SUITE 118",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073366",
            "telephone_number": "919-803-1417",
            "fax_number": "919-803-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL ASSOCIATES OF NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2016-01-23",
        "status": "A",
        "authorized_official_last_name": "YACONO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-876-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "96-01110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "0286L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH RALEIGH INTERNAL MEDICINE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prime Health, Inc.
• Prime Health, Inc.
• Prime Health, Inc.
• Prime Health, Inc.
• Prime MD PC
• Prime Medical Supply LLC
• Prime NC Health, LLC
• Prime Physical Therapy, LLC
• Primepath Medical Transport
• Jamie Prince, MD, MPH

• Gastroenterology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; 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.