Primary Health of Northern New York, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

210993 Issued in NY

Legal business name

PRIMARY HEALTH OF NORTHERN NEW YORK, PLLC

Practice address

156 Clinton St
Watertown, NY 13601-3602

Phone

(315) 782-7550

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth A Thurheimer, MD

Title

Owner and Original Member

Phone

(315) 782-7550

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 2

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

• Jerica Lynn Douglas, D.C.

  • Chiropractor
  • Watertown, NY
  • NPI 1548507437
  NPD (past)
• Danielle L Miller, DC

  • Chiropractor
  • Glendale, AZ
  • NPI 1720119720
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932232378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 CLINTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013602",
            "telephone_number": "315-782-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CLINTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013602",
            "telephone_number": "315-782-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH OF NORTHERN NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THURHEIMER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER AND ORIGINAL MEMBER",
        "authorized_official_telephone_number": "315-782-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "210993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01862091",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "P00082023",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER ID",
            "identifier": "711552",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP # PALMETTO RR MCR",
            "identifier": "DB0031",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "142658XX",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER ID",
            "identifier": "5996936",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Nicole Pratt, LPN
• Jane M Prendergast, NP
• Preston Lowe Apple Optical
• Stephanie Preston, LMSW
• Rachelle Cassandra Price, FNP
• Estrella Gomez Primicias, M.D.
• Sue A. Prior, R.PH.
• Jennifer Prockish
• Christilee F Proto, O.T.
• Anna Elizabeth Puccia, LMSW

• Family Medicine Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.