NPIMap

Organization Active NPI

Primary Care PLLC

  • Internal Medicine Physician
  • Henrico, VA
National Provider Identifier
1790100261
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101244710 Issued in VA
Legal business name
PRIMARY CARE PLLC
Practice address
4102 E Parham Rd
Henrico, VA 23228-2743
Phone
(804) 912-2359
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Thanh-Ha Pham
Title
Physician
Phone
(804) 912-2359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101244710 VA Primary

Addresses

Primary practice location

4102 E Parham Rd
Henrico, VA 23228-2743

Mailing address

4102 E Parham Rd
Henrico, VA 23228-2743
Phone (804) 912-2359

National Provider Directory

National Provider Directory

Locations

4102 E Parham Rd
Henrico, VA 23228
Phone (804) 672-8588

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1790100261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 E PARHAM RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282743",
            "telephone_number": "804-912-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 E PARHAM RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282743",
            "telephone_number": "804-912-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THANH-HA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "804-912-2359"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101244710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.