NPIMap

Organization Active NPI

Prime Care Providers LLC

  • Family Medicine Physician
  • Johnstown, PA
National Provider Identifier
1992353619
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIME CARE PROVIDERS LLC
Practice address
1013 Menoher Blvd
Johnstown, PA 15905-2544
Phone
(814) 254-4885
NPI assigned
Aug 27, 2019
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
George Frem, MDNPI 1053315549
Title
Ceo
Phone
(814) 244-9873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1013 Menoher Blvd
Johnstown, PA 15905-2544

Mailing address

1013 Menoher Blvd
Johnstown, PA 15905-2544
Phone (814) 254-4885

Other practice location 1

100 Hostetler Rd
Johnstown, PA 15904-3111
Phone (814) 240-3432

Other practice location 2

517 Georgian Pl
Somerset, PA 15501-1613
Phone (814) 417-5144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190930000532 PA Part B Supplier - Clinic/Group Practice 3678803913 Receives reassigned benefits from 12 practitioners
Practice locations: Somerset, PA; Seward, PA; Johnstown, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2290045Prime Care Providers1013 Menoher Blvd, Johnstown, PA 15905Certificate of waiverSep 19, 2027

National Provider Directory

National Provider Directory

Locations

211 Thompson St
Seward, PA 15954
Phone (814) 446-5037

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1992353619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052544",
            "telephone_number": "814-254-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052544",
            "telephone_number": "814-254-4885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hostetler Rd",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159043111",
            "country_code": "US",
            "telephone_number": "814-240-3432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 Georgian Pl",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155011613",
            "country_code": "US",
            "telephone_number": "814-417-5144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIME CARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "FREM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-244-9873",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.