Organization Active NPI

Primary Medical Care, Inc.

  • General Practice Physician
  • New Bedford, MA
National Provider Identifier
1992141600
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
30257 Issued in MA
Legal business name
PRIMARY MEDICAL CARE, INC.
Practice address
785 Rockdale Avenue
New Bedford, MA 02740
Phone
(508) 997-1229
Fax
(508) 997-1220
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Peter Matthew Horan, M.D.
Title
Physician/President
Phone
(508) 997-1229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 30257 MA Primary

Addresses

Primary practice location

785 Rockdale Avenue
New Bedford, MA 02740

Mailing address

785 Rockdale Avenue
New Bedford, MA 02740
Phone (508) 997-1229

Other identifiers 1

IdentifierTypeStateIssuer
2072254MedicaidMA

National Provider Directory

National Provider Directory

Locations

785 Rockdale Ave
New Bedford, MA 02740
Phone (508) 997-1229

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1992141600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 ROCKDALE AVENUE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-997-1229",
            "fax_number": "508-997-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 ROCKDALE AVENUE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-997-1229",
            "fax_number": "508-997-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "HORAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "508-997-1229",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "30257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2072254",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.