Primary Health Associates PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRIMARY HEALTH ASSOCIATES PC

Practice address

16604 S 107TH CT
Orland Park, IL 60467-8898

Phone

(708) 675-1620

Fax

(708) 675-1635

NPI assigned

Oct 4, 2006

Last updated

Jul 21, 2022By 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

Dr. David A Dohse, D.O.NPI 1679511901

Title

President

Phone

(708) 301-1400

Specialties & licenses 2

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGEBDA

Practitioners 21

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.

• Linda Beller, MSN NP

  • Family Medicine Physician
  • Orland Park, IL
  • NPI 1437861366
  Medicare reassignment Care Compare group NPD
• Raymond P Dipasquo, D.O.

  • Family Medicine Physician
  • Homer Glen, IL
  • NPI 1912950916
  Medicare reassignment Care Compare group NPD
• Kathleen Ann Henry, APN/CNP

  • Family Nurse Practitioner
  • Orland Park, IL
  • NPI 1497063135
  Medicare reassignment Care Compare group NPD
• Susan E Marcotte, D.O.

  • Family Medicine Physician
  • Orland Park, IL
  • NPI 1184678377
  Medicare reassignment Care Compare group NPD
• John A Panozzo, M.D.

  • Family Medicine Physician
  • Orland Park, IL
  • NPI 1841238029
  Medicare reassignment Care Compare group NPD
• Lauren Rees

  • Acute Care Nurse Practitioner
  • Chicago, IL
  • NPI 1710496864
  Medicare reassignment Care Compare group NPD
• Khalil Snowber, DO

  • Family Medicine Physician
  • Orland Park, IL
  • NPI 1225487481
  Medicare reassignment Care Compare group NPD
• James J Tess, M.D.

  • Family Medicine Physician
  • Orland Park, IL
  • NPI 1629016803
  Medicare reassignment Care Compare group NPD
• Robert W Wrona, D.O.

  • Family Medicine Physician
  • Orland Park, IL
  • NPI 1841244043
  Medicare reassignment Care Compare group NPD
• David A Dohse, D.O.

  • Family Medicine Physician
  • Homer Glen, IL
  • NPI 1679511901
  Authorized official Same address or phone
• Sunitha R Avula, MD

  • Internal Medicine Physician
  • Homer Glen, IL
  • NPI 1801895867
  NPD (past)
• Alex J Dejong, D.O.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1235183476
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760577829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16604 S 107TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-675-1620",
            "fax_number": "708-675-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16604 S 107TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-675-1620",
            "fax_number": "708-675-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOHSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-301-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANGELA S THIEL PT NPI",
            "identifier": "1114785832",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR DAVID DOHSE NPI",
            "identifier": "1679511901",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JAMES MAGEE NPI",
            "identifier": "1770521007",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR ROBERT WRONA NPI",
            "identifier": "1841244043",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JOHN PANOZZO NPI",
            "identifier": "1841238029",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR DONALD GERRY NPI",
            "identifier": "1154369395",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR R DIPASQUO NPI",
            "identifier": "1912950916",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR PAUL STRIEGEL NPI",
            "identifier": "1215953559",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JAMES TESS NPI",
            "identifier": "1629016803",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR SUSAN MARCOTTE NPI",
            "identifier": "1184678377",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JOHN HERBICK NPI",
            "identifier": "1790723088",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.