Primary Care Associates PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PRIMARY CARE ASSOCIATES PC

Practice address

1935 W Main St
Salem, VA 24153-3109

Phone

(540) 302-0192

Fax

(540) 302-0193

NPI assigned

Jun 1, 2006

Last updated

Sep 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edwin J Polverino, D.O.NPI 1194798983

Title

President

Phone

(540) 302-0190

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Edwin J Polverino, D.O.

  • Family Medicine Physician
  • Salem, VA
  • NPI 1194798983
  Authorized official Same address or phone
• David G Harden, DO

  • Family Medicine Physician
  • Blacksburg, VA
  • NPI 1831180165
  NPD (past)
• Joseph Lemmer, MD

  • Rheumatology Physician
  • Salem, VA
  • NPI 1356320998
  NPD (past)
• Alise Magnuson, M.D.

  • Pediatrics Physician
  • Lexington, VA
  • NPI 1508864638
  NPD (past)
• Michael J Sampson, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Atlanta, GA
  • NPI 1457388621
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1619914439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 W MAIN ST",
            "address_2": "PO BOX 1568",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533109",
            "telephone_number": "540-302-0192",
            "fax_number": "540-302-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533109",
            "telephone_number": "540-302-0192",
            "fax_number": "540-302-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "POLVERINO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-302-0190",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayme Michaela Price, PA-C
• Lakin Shanay Price
• Pamela Price, NP
• Joshua Todd Prickett, DO
• John W Priddy, M.D.
• Denver Louis Pritchard Jr., LCSW
• Benedict A Profera, DPM, MPH
• Richard Prokopchak, MD
• Katie Martin Pruitt, PMHNP
• Pulaski VA Clinic

• Multi-Specialty Clinic/Center in Salem, VA
• Providers in Salem, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.