Primary Care Associates LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

PRIMARY CARE ASSOCIATES LLC

Practice address

780 Chestnut St
Ste 23
Springfield, MA 01107-1610

Phone

(413) 787-2800

Fax

(413) 787-2822

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Victoria Pamela Peters, DO

Title

President

Phone

(413) 787-2800

Specialties & licenses 1

Addresses

Other identifiers 8

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4342/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa M Killips, NP

  • Family Nurse Practitioner
  • Westfield, MA
  • NPI 1831123793
  NPD (past)
• Maria Lankowski, APRN

  • Family Nurse Practitioner
  • Springfield, MA
  • NPI 1891766556
  NPD (past)
• Andrea Marie Christopherson McDonough, RD LDN

  • Registered Dietitian
  • Springfield, MA
  • NPI 1700958840
  NPD (past)
• Kristine K Wailgum, APRN

  • Adult Health Nurse Practitioner
  • Longmeadow, MA
  • NPI 1477524031
  NPD (past)
• Sharon M Woods, PA-C

  • Medical Physician Assistant
  • Springfield, MA
  • NPI 1225071657
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1922070341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CHESTNUT ST",
            "address_2": "STE 23",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071610",
            "telephone_number": "413-787-2800",
            "fax_number": "413-787-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CHESTNUT ST",
            "address_2": "STE 23",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071610",
            "telephone_number": "413-787-2800",
            "fax_number": "413-787-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-787-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "698206",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3964761007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRADITION PPO",
            "identifier": "7013557",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MA",
            "identifier": "M18358",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "7247147247141689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA4074",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH HMO",
            "identifier": "3404623",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "398206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Pricop, NURSE PRACTITIONER
• Brian C Priest, DNP
• Lucinda Priester
• Oleyetta Kazan Priester, MFTA
• Raquel Lara Prieto
• Gabriella C Primera, DO
• Konbo Princewill, D.M.D
• Obioma Anuli Princewill, DMD
• Margaret Blum Principe
• Maxwell S Prior, PA

• Geriatric Medicine (Internal Medicine) Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.