NPIMap

Organization Active NPI

Primary Health Network

Doing business as Sharon Medical Group

  • Federally Qualified Health Center (FQHC)
  • Sharon, PA
National Provider Identifier
1750413159
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRIMARY HEALTH NETWORK
Doing business as
Sharon Medical Group
Practice address
197 E Silver St
Sharon, PA 16146-2186
Phone
(724) 347-8312
Fax
(724) 342-1942
NPI assigned
Mar 12, 2007
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Mr. Carl A Sizer III, CPA
Title
Chief Financial Officer
Phone
(724) 342-0126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

197 E Silver St
Sharon, PA 16146-2186

Mailing address

63 Pitt St
Sharon, PA 16146-2102
Phone (724) 342-3002

Other identifiers 2

IdentifierTypeStateIssuer
2212555MedicaidOH
1007578460017MedicaidPA

Other names 1

  • Sharon Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080828000639 PA Part A Provider - Federally Qualified Health Center (FQHC) 9234046228 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sharon, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750413159. Details of each certification follow.

Federally qualified health center certification: CCN 391819

Legal name
PRIMARY HEALTH NETWORK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Dec 19, 1983 in PA
Enrollment address
63 Pitt St
Sharon, PA 16146-2102

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Primary Health Network54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas McKinley Individual Corporate DirectorBoard Member May 28, 2025
Anthony Kos Individual Corporate DirectorBoard Member Oct 1, 2011
Rebekah Flanders Individual Corporate DirectorBoard Member Jun 23, 2021
Lizette Olson Individual Corporate DirectorBoard Member Jan 27, 2021
George Capella Garrow Individual Corporate OfficerCeo Jun 1, 2022
W-2 Managing EmployeeCeo Jun 1, 2022
Kavon Wright Individual Corporate DirectorBoard Member May 26, 2021
Nanda Chuwan Individual Corporate DirectorBoard Member Oct 1, 2017
Iffath Syed Individual Corporate DirectorBoard Member May 28, 2025
Steven Davis Individual Corporate DirectorBoard Member May 28, 2025
Marie Timpano Individual Corporate DirectorBoard Member May 28, 2025
Thomas Scott Individual Corporate DirectorBoard Member Sep 1, 2010
Dana L Reeher Individual Corporate DirectorBoard Member Mar 22, 2023
Cynthia D Novotny Individual Corporate DirectorBoard Member Feb 28, 2026
Beth Ann White Individual Corporate DirectorBoard Member Oct 27, 2021
Jennifer Winchester Individual Corporate DirectorBoard Member Nov 16, 2022
Jeffrey Baughman Individual Corporate DirectorBoard Member Jul 28, 2021
Daniel D Blough Individual Corporate DirectorBoard Member Aug 1, 2012

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1750413159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PITT ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462102",
            "telephone_number": "724-342-3002",
            "fax_number": "724-342-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 E SILVER ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462186",
            "telephone_number": "724-347-8312",
            "fax_number": "724-342-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "SIZER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "724-342-0126",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2212555",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007578460017",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sharon Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sharon, PA

Sources for this page

Verify at the official NPI Registry.