PA-Rtners in Primary Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PA-RTNERS IN PRIMARY CARE, LLC

Practice address

436 Mistee Drive SW
New Philadelphia, OH 44663

Phone

(330) 447-7794

NPI assigned

Aug 26, 2019

Organization subpart

Yes

Parent organization

PA-RTNERS IN PRIMARY CARE, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Shirley Ellen Charette, PA-C

Title

Corporate President

Phone

(330) 447-7794

Specialties & licenses 1

Addresses

Part of

PA-Rtners in Primary Care LLC

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1487201273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 MISTEE DRIVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "44663",
            "telephone_number": "330-447-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 MISTEE DRIVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "44663",
            "telephone_number": "330-447-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA-RTNERS IN PRIMARY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PA-RTNERS IN PRIMARY CARE, LLC",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "CHARETTE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "330-447-7794",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.