Primary Care Physicians, LLP

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRIMARY CARE PHYSICIANS, LLP

Practice address

12728 Augusta Ave
Omaha, NE 68144-3754

Phone

(402) 330-1410

Fax

(402) 330-4294

NPI assigned

Mar 24, 2006

Last updated

Jan 23, 2025By 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

Jorden Bazar

Title

Business Administrator

Phone

(402) 330-1414

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Joseph A Anthone, APRN

  • Primary Care Nurse Practitioner
  • Omaha, NE
  • NPI 1790327195
  Medicare reassignment Care Compare group NPD
• Keri E Dillon, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Omaha, NE
  • NPI 1093196909
  Medicare reassignment Care Compare group NPD
• Andrea L Lawlor, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1104911296
  Medicare reassignment Care Compare group NPD
• Heather A Obregon, MD

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1962594390
  Medicare reassignment Care Compare group NPD
• Tara L Sands, DNP

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1992035778
  Medicare reassignment Care Compare group NPD
• Thomas Vinton, MD

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1184688939
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1649230426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 AUGUSTA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443754",
            "telephone_number": "402-330-1410",
            "fax_number": "402-330-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 AUGUSTA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443754",
            "telephone_number": "402-330-1410",
            "fax_number": "402-330-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PHYSICIANS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "BAZAR",
        "authorized_official_first_name": "JORDEN",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "402-330-1414"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "28D0454559",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550764",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pride Health Clinic LLC (Pride Care For All LLC)
• Kimberly Sue Priebe
• Karin T. Priefert, D.O.
• Kassandra Prieto-Garcia
• Joshua Priluck, M.D.
• Primary Home Health Care, Inc.
• Primary Purpose Enterprises LLC (First Light Home Care)
• Prime Home Care LLC
• Prime Home Care LLC (Compassionate Care Hospice)
• Prime Home Developmental Disabilities Services, Inc

• General Practice Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.