Active NPI
Primary Health Care Associates PLLC
- Family Medicine Physician
- Weston, WV
National Provider Identifier
1568628766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11386
- Legal business name
- PRIMARY HEALTH CARE ASSOCIATES PLLC
- Practice address
- 25 Garton PLZ
Weston, WV 26452-2128 - Phone
- (304) 269-6620
- NPI assigned
- Aug 6, 2008
- Last updated
- Oct 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bennett D Orvik, MD
- Title
- Single Member
- Phone
- (304) 269-6620
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11386 | WV | Primary |
Addresses
Primary practice location
25 Garton PLZ
Weston, WV 26452-2128
Mailing address
PO Box 747
Weston, WV 26452-0747
Phone (304) 269-6620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0055675000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Weston, WV
- NPI 1467458778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224115200000",
"number": "1568628766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 747",
"city": "WESTON",
"state": "WV",
"postal_code": "264520747",
"telephone_number": "304-269-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 GARTON PLZ",
"city": "WESTON",
"state": "WV",
"postal_code": "264522128",
"telephone_number": "304-269-6620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY HEALTH CARE ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-06",
"last_updated": "2008-10-16",
"status": "A",
"authorized_official_last_name": "ORVIK",
"authorized_official_first_name": "BENNETT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SINGLE MEMBER",
"authorized_official_telephone_number": "304-269-6620",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "11386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0055675000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.