PRIMARY HEALTH GROUP INC (NPI# 1144347378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144347378 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH GROUP INC |
| Other Organization Name | PHYSICIANS OF FAMILY MEDICINE-CLOVERHILL |
| Practice Address |
13861 Hull Street Rd Midlothian VA 23112-2003 |
| Practice Telephone | 8047390910 |
| Practice Fax Number | 8047392763 |
| Mailing Telephone | 8047390910 |
| Mailing Fax Number | 8047392763 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | CAROL SMITH (VP) |
| Authorized Official Telephone | 8042377760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1144347378 | 05 | |
| RR MEDICARE | CE1200 | 01 |
| Other Name | Type Code |
|---|---|
| Physicians of Family Medicine-Cloverhill | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912176561 | Primary Health Group Inc | Family Medicine | 7101 Jahnke Rd, Suite 550a, Richmond, VA 23225-4017 | 2008-02-28 |
| 1720265606 | Primary Health Group Inc | Family Medicine | 10130 Hull Street Rd, Midlothian, VA 23112-3300 | 2008-01-23 |
| 1154362069 | Primary Health Group Inc | Family Medicine | 6439 Iron Bridge Rd, Richmond, VA 23234-5205 | 2006-06-10 |
| 1578504452 | Primary Health Group Inc | Family Medicine | 1441 Johnston Willis Dr, Richmond, VA 23235-4730 | 2006-06-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PRIMARY HEALTH GROUP INC. | One Park Plaza, Nashville, Tennessee 37203 |
| Street Address |
13861 HULL STREET RD |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922093806 | Bogale Jima | Family Medicine | 13861 Hull Street Rd, Midlothian, VA 23112-2003 | 2005-09-15 |
| 1720366917 | Dandan Li | Family Medicine | 13861 Hull Street Rd, Midlothian, VA 23112-2091 | 2011-07-22 |
| 1013229053 | Zaroh L Neth | Family Medicine | 13861 Hull Street Rd, Midlothian, VA 23112-2091 | 2010-07-07 |
| 1487876157 | Scott David Schlensker | Dentist | 13861 Hull Street Rd, 200, Midlothian, VA 23112-2003 | 2007-05-03 |
| 1861555740 | Jose E. Gallegos, D.d.s., P.C. | Dentist | 13861 Hull Street Rd, Suite 200, Midlothian, VA 23112-2003 | 2006-12-19 |
| 1326114950 | Jose E Gallegos | Dentist | 13861 Hull Street Rd, Suite 200, Midlothian, VA 23112-2003 | 2006-11-27 |
| 1578592366 | Atiya Momin Atique | Family Medicine | 13861 Hull Street Rd, Midlothian, VA 23112-2091 | 2006-07-02 |
| 1851336648 | Primary Health Group, Inc. | Family Medicine | 13861 Hull Street Rd, Midlothian, VA 23112-2003 | 2006-06-17 |
| 1437144128 | Lorena L Harvey | Family Medicine | 13861 Hull Street Rd, Midlothian, VA 23112-2003 | 2005-09-19 |
| 1932194636 | Kevin M Harvey | Family Medicine | 13861 Hull Street Rd, Midlothian, VA 23112-2003 | 2005-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311603 | Rachell Alissia Sullivan | Family Medicine | 6010 Park View Dr, Midlothian, TX 76065-8933 | 2020-03-23 |
| 1376176586 | Jessie Cheng | Family Medicine | 381 Crofton Village Ter, Midlothian, VA 23114-4750 | 2020-02-16 |
| 1659840981 | Rachel Bailey | Family Medicine | 4421 Stigall Dr, Midlothian, VA 23112-3217 | 2018-11-15 |
| 1326546151 | Bellgrade Medical | Family Medicine | 2621 Promenade Pkwy Ste 101, Midlothian, VA 23113-4905 | 2018-01-26 |
| 1861845844 | Ekaterina Bratysheva | Family Medicine | 13540 Hull Street Road, Midlothian, VA 23112 | 2016-07-14 |
| 1437534864 | Mark Merritt | Family Medicine | 32 Spinnaker Cove Dr, Midlothian, VA 23112-2131 | 2015-07-27 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| 1902248941 | Virginia Physicians,inc | Family Medicine | 11301 Polo Pl, Suite B, Midlothian, VA 23113-4803 | 2013-07-18 |
| 1336459171 | Bon Secours St. Francis Medical Center Inc | Family Medicine | 13700 St Francis Blvd Ste 302, Midlothian, VA 23114-3222 | 2010-10-14 |
| 1821309675 | Elias Flores Lara Jr. | Family Medicine | 151 Walton Way Ste 107, Midlothian, TX 76065-8010 | 2010-06-27 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.