NPIMap

Organization Active NPI

Prime Medical Group PC

  • Internal Medicine Physician
  • Belle Vernon, PA
National Provider Identifier
1821029349
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIME MEDICAL GROUP PC
Practice address
1645 Rostraver Rd
Suite 505
Belle Vernon, PA 15012-9655
Phone
(724) 929-2640
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Darla Sethman
Title
Admministrator
Phone
(724) 929-2640

Specialties & licenses 1

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

Addresses

Primary practice location

1645 Rostraver Rd
Suite 505
Belle Vernon, PA 15012-9655

Mailing address

1645 Rostraver Rd
Suite 505
Belle Vernon, PA 15012-9655
Phone (724) 929-2640

Other names 1

  • PR Cardiovascular Division Other name

National Provider Directory

National Provider Directory
Tax ID family
Prime Medical Group Lab5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1821029349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 ROSTRAVER RD",
            "address_2": "SUITE 505",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150129655",
            "telephone_number": "724-929-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 ROSTRAVER RD",
            "address_2": "SUITE 505",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150129655",
            "telephone_number": "724-929-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "SETHMAN",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "ADMMINISTRATOR",
        "authorized_official_telephone_number": "724-929-2640"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PR Cardiovascular Division",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belle Vernon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.