Primary Care Healthworks LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRIMARY CARE HEALTHWORKS LLC

Practice address

2000 Auburn Dr
Suite 200
Beachwood, OH 44122-4314

Phone

(440) 934-6135

Fax

(440) 934-6147

NPI assigned

May 5, 2015

Last updated

May 20, 2015By 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

Sue Irwin

Title

Billing Manager

Phone

(440) 934-6135

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1982081360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR",
            "address_2": "SUITE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224314",
            "telephone_number": "440-934-6135",
            "fax_number": "440-934-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR",
            "address_2": "SUITE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224314",
            "telephone_number": "440-934-6135",
            "fax_number": "440-934-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE HEALTHWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "440-934-6135"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.