NPIMap

Organization Active NPI

Primary Care Associates of New Lebanon, LLC

  • Primary Care Clinic/Center
  • New Lebanon, OH
National Provider Identifier
1588707889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35067795 Issued in OH
Legal business name
PRIMARY CARE ASSOCIATES OF NEW LEBANON, LLC
Practice address
550 W Main St
New Lebanon, OH 45345-9172
Phone
(937) 687-1911
Fax
(937) 687-1888
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis Al Bingham, M.D.NPI 1285777656
Title
Physician
Phone
(937) 687-1911

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
Primary Care Clinic/Center 261QP2300X 35067795 OH Primary

Addresses

Primary practice location

550 W Main St
New Lebanon, OH 45345-9172

Mailing address

550 W Main St
New Lebanon, OH 45345-9172
Phone (937) 687-1911

Other identifiers 2

IdentifierTypeStateIssuer
0317142MedicaidOH
000000284750OtherOHANTHEM BLUE CROSS BLUE SH

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588707889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W MAIN ST",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453459172",
            "telephone_number": "937-687-1911",
            "fax_number": "937-687-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W MAIN ST",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453459172",
            "telephone_number": "937-687-1911",
            "fax_number": "937-687-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES OF NEW LEBANON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "AL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "937-687-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35067795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0317142",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000284750",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.