Primary Healthcare Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIMARY HEALTHCARE SERVICES LLC

Practice address

8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683

Phone

(443) 986-2279

NPI assigned

Mar 1, 2019

Last updated

Mar 1, 2019By 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

Tashana Johnson, CRNP, APRN

Title

Nurse Practitioner

Phone

(443) 986-2279

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1215494844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 ALASTOR CT",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210758157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 MAPLE LAWN BLVD STE 350",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592683",
            "telephone_number": "443-986-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TASHANA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "443-986-2279",
        "authorized_official_credential": "CRNP, APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisha Poddam
• Sharon Polinati
• Shayna Jenny Popkin, DO
• Basya Poretsky
• Anna J Powell
• Maria Rafanan Prince, MD
• Privia Medical Group, LLC
• Ansu Mathew Punnoose, D.O.
• Emani Purchas
• Adrian Quiroz-Nugent

• Clinic/Center in Fulton, MD
• Providers in Fulton, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.