Peter Anthony Primiano II, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

WA PA10003987 Issued in WA

Practice address

2211 E. Mill Plain BV.,
Vancouver, WA 98661-4399

Phone

(360) 449-7009

NPI assigned

Sep 20, 2006

Last updated

Mar 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1598863177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 NE SACRAMENTO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134756",
            "telephone_number": "503-288-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E. MILL PLAIN BV.,",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614399",
            "telephone_number": "360-449-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMIANO",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "OR PA00152",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "WA PA10003987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Price, CNA, AAC
• Sheri Lynne Price
• John Stewart Prickett, NP
• Carla Bone Priddy, LMP
• Keala Prietto
• Christopher Allen Primley, D.M.D.
• Priority Life Chiropractic & Massage LLC
• Prism Pediatric Therapy Associates PLLC
• Jordan Pritchard
• Tatiana Mikhailovna Pritchard, PMHNP, FNP

• Physician Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physician Assistant in Washington

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

Verify at the official NPI Registry.