Organization Active NPI

Pri-Med Care Inc

  • Internal Medicine Physician
  • Greensburg, PA
National Provider Identifier
1578872214
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-0524125-L Issued in PA
Legal business name
PRI-MED CARE INC
Practice address
4479 Rte 136
Greensburg, PA 15601-6413
Phone
(724) 836-4473
Fax
(724) 836-3835
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Dr. William John Monsour, M.D.
Title
Medical Director
Phone
(724) 836-4473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD-0524125-L PA Primary

Addresses

Primary practice location

4479 Rte 136
Greensburg, PA 15601-6413

Mailing address

4479 Rte 136
Greensburg, PA 15601-6413
Phone (724) 836-4473

Other identifiers 1

IdentifierTypeStateIssuer
1490757001MedicaidPA

National Provider Directory

National Provider Directory

Locations

4479 State Route 136
Greensburg, PA 15601
Phone (724) 836-4473

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1578872214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4479 RTE 136",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016413",
            "telephone_number": "724-836-4473",
            "fax_number": "724-836-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4479 RTE 136",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016413",
            "telephone_number": "724-836-4473",
            "fax_number": "724-836-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRI-MED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "MONSOUR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "724-836-4473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-0524125-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490757001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.