Prime Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD037996L Issued in PA

Legal business name

PRIME MEDICAL GROUP

Practice address

1200 Brooks LN
Suite 110
Clairton, PA 15025-3747

Phone

(724) 929-4930

Fax

(724) 929-4308

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ambaram V Chauhan, M.D.NPI 1184603383

Title

President of Practive

Phone

(724) 929-4930

Specialties & licenses 1

Addresses

Other identifiers 5

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 1073534723
  NPD tax ID
• Prime Medical Group

  • Internal Medicine Physician
  • Belle Vernon, PA
  • NPI 1235171570
  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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ambaram V Chauhan, MD

  • Internal Medicine Physician
  • Clairton, PA
  • NPI 1184603383
  NPD (past) Authorized official
• Cheryl Hranicky, CRNP

  • Nurse Practitioner
  • Rostraver Township, PA
  • NPI 1629086574
  NPD (past)
• Uzma Khan, MD

  • Internal Medicine Physician
  • Jefferson Hills, PA
  • NPI 1396725099
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1356528152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18619",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152360619",
            "telephone_number": "724-929-4930",
            "fax_number": "724-929-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN",
            "address_2": "SUITE 110",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253747",
            "telephone_number": "724-929-4930",
            "fax_number": "724-929-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "CHAUHAN",
        "authorized_official_first_name": "AMBARAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT OF PRACTIVE",
        "authorized_official_telephone_number": "724-929-4930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD037996L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007726550009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "769210",
            "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": "692646",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "692541",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa L Poot, DO
• Paula S Popp, LCSW
• Thomas R. Powell, M.D.
• Jordan Preston
• Primary Care Group 9, Inc
• Prime Medical Group
• Prime Medical Group PCG1
• Courtney Pyeritz
• Kimberly M Ramsey, RN
• Leigh Ann Reese

• Family Medicine Physician in Clairton, PA
• Providers in Clairton, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.