NPIMap

Organization Active NPI

Prime-Care 12, Inc

  • Family Medicine Physician
  • Princeton, WV
National Provider Identifier
1396843199
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11431 Issued in WV
Legal business name
PRIME-CARE 12, INC
Practice address
702 Stafford Dr
Princeton, WV 24740-2406
Phone
(304) 425-0085
Fax
(304) 425-6283
NPI assigned
Sep 20, 2006
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Florencio Pascual Neri Jr., M.D.NPI 1134118524
Title
President
Phone
(304) 425-0085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11431 WV Primary

Addresses

Primary practice location

702 Stafford Dr
Princeton, WV 24740-2406

Mailing address

702 Stafford Dr
Princeton, WV 24740-2406
Phone (304) 425-0085

National Provider Directory

National Provider Directory

Locations

702 Stafford Dr
Princeton, WV 24740
Phone (304) 425-0085

Practitioners & affiliated clinicians

Practitioners 3

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1396843199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 STAFFORD DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402406",
            "telephone_number": "304-425-0085",
            "fax_number": "304-487-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 STAFFORD DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402406",
            "telephone_number": "304-425-0085",
            "fax_number": "304-425-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME-CARE 12, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "NERI",
        "authorized_official_first_name": "FLORENCIO",
        "authorized_official_middle_name": "PASCUAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-425-0085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "11431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.