Primary Care Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2008026704 Issued in MO

Legal business name

PRIMARY CARE INC.

Practice address

2315 Dougherty Ferry Rd
Saint Louis, MO 63122-3383

Phone

(314) 909-1920

Fax

(314) 909-1980

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Faiyaz Sulaiman

Title

Manager

Phone

(915) 926-0982

Specialties & licenses 2

Addresses

Locations

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.

• Minuteclinic Primary Care Missouri LLC

  • Family Nurse Practitioner
  • Independence, MO
  • NPI 1912717448
  NPPES parent name

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1912255753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025065",
            "telephone_number": "618-462-9695",
            "fax_number": "618-462-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 DOUGHERTY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223383",
            "telephone_number": "314-909-1920",
            "fax_number": "314-909-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "SULAIMAN",
        "authorized_official_first_name": "FAIYAZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-926-0982"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2008026704",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036115808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deborah Athena Rose Rennard Priluck, DPT
• Prima Health Care Services, LLC
• Primary Healthcare STL, LLC
• Primary Medical Services, LLC
• Prime Acquisitions, LLC
• Prime Health Supply LLC
• Prime Home Care LLC

• Emergency Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.