Primecare Philadelphia PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMECARE PHILADELPHIA PC

Practice address

3542 Welsh Rd
Philadelphia, PA 19136-2623

Phone

(215) 333-6888

Fax

(215) 333-3945

NPI assigned

Apr 18, 2013

Last updated

Apr 18, 2013By 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

Diane Depman

Title

Practice Director

Phone

(215) 333-6888

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Stanley T Depman, MD

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1689667065
  NPD
• Joyce H Han, MD

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1770576159
  NPD

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1801230065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362623",
            "telephone_number": "215-333-6888",
            "fax_number": "215-333-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362623",
            "telephone_number": "215-333-6888",
            "fax_number": "215-333-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE PHILADELPHIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "DEPMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "215-333-6888"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "3815716002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Healthcare Services Roxborough LLC (Roxborough Memorial Hospital)
• Prime Healthcare Services Roxborough LLC (Roxborough Memorial Hospital)
• Prime Healthcare Services-Roxborough Providers LLC
• Prime Home Care, Inc
• Primecare Home Services LLC
• Primecare Philadelphia, P. C.
• Primecare Services
• Primed Healthcare Inc
• Christopher Thomas Primiani, MD
• Primos Pharmacy

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.