PRIME MEDICAL GROUP (NPI# 1639490790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639490790 |
| Entity Type | Organization |
| Organization Name | PRIME MEDICAL GROUP |
| Other Organization Name | PRIME MEDICAL GROUP - JEFFERSON |
| Practice Address |
1200 Brooks Ln 110 Clairton PA 15025-3747 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 4124665502 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2013-07-01 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS015942 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Prime Medical Group - Jefferson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184083610 | Prime Medical Group | Clinic/Center | 5439 Clayton Rd, Suite B, Clayton, CA 94517-1086 | 2016-02-11 |
| 1922437573 | Prime Medical Group | Clinic/Center | 1452 N Krome Ave, 101-i, Florida City, FL 33034-2440 | 2013-11-04 |
| 1083856165 | Prime Medical Group | Emergency Medicine | 180 Fort Couch Rd, Suite 275, Pittsburgh, PA 15241-1041 | 2009-04-03 |
| 1356528152 | Prime Medical Group | Family Medicine | 1200 Brooks Ln, Suite 110, Clairton, PA 15025-3747 | 2008-01-24 |
| 1073534723 | Prime Medical Group | Internal Medicine | 515 Broad Ave, Belle Vernon, PA 15012-1405 | 2006-07-21 |
| 1235171570 | Prime Medical Group | Internal Medicine | 1645 Rostraver Rd, Belle Vernon, PA 15012-9655 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PRIME MEDICAL GROUP INC. | 3301 S Malaya Ct, Aurora, CO 80013 |
| Street Address |
1200 BROOKS LN 110 |
| City | CLAIRTON |
| State | PA |
| Zip Code | 15025-3747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295248961 | Ashley Mueller | Nurse Practitioner | 1200 Brooks Ln, Clairton, PA 15025-3747 | 2017-11-15 |
| 1326478561 | Gateway Foot & Ankle, PC | Podiatrist | 1200 Brooks Ln, Suite 160, Clairton, PA 15025-3747 | 2013-11-26 |
| 1740555283 | Elisa Kate Bosilovic | Physician Assistant | 1200 Brooks Ln, G-10, Clairton, PA 15025-3747 | 2012-03-16 |
| 1295032928 | Lisa Marie Krause | Physician Assistant | 1200 Brooks Ln, Suite G-10, Clairton, PA 15025-3747 | 2011-02-15 |
| 1043530439 | South Hills Gastroenterology Associates LLC | Internal Medicine | 1200 Brooks Ln, Ste G10, Clairton, PA 15025-3747 | 2010-06-08 |
| 1891024618 | Primary Care Group 9, Inc | Family Medicine | 1200 Brooks Ln, Suite 270, Clairton, PA 15025-3747 | 2009-12-08 |
| 1083940282 | Lana P Bliner | Nurse Practitioner | 1200 Brooks Ln, Suite Number 285, Clairton, PA 15025-3747 | 2009-10-22 |
| 1760632103 | Pittsburgh Medical Associates, P.C. | Family Medicine | 1200 Brooks Ln, Suite 160, Clairton, PA 15025-3747 | 2008-09-23 |
| 1184871022 | Anna M Gyure | Physician Assistant | 1200 Brooks Ln, Suite 240, Clairton, PA 15025-3747 | 2008-08-22 |
| 1356528152 | Prime Medical Group | Family Medicine | 1200 Brooks Ln, Suite 110, Clairton, PA 15025-3747 | 2008-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407362148 | Mary Katherine Bearer | Dental Hygienist | 1925 Route 51 South, Jefferson Hills, PA 15025 | 2017-12-18 |
| 1508171802 | Leanne Kinzler | Dietitian, Registered | 1208 Oakwood Drive, Jeffeson Hills, PA 15025 | 2010-08-11 |
| 1750457214 | Borough of Jefferson Ambulance Association Inc | Ambulance | 2121 Century Drive, Jefferson Hills, PA 15025 | 2006-11-28 |
| 1851480644 | Nancy Katherine Ritenour | Registered Nurse | 559 Miller Ave, Magee At Clairton, Clairton, PA 15025 | 2006-10-12 |
| 1861440315 | Jethalal L Rambhia | Internal Medicine | 1200 Brooks Ln Ste 270, Jefferson Hills, PA 15025 | 2006-05-05 |
| 1134197130 | Jefferson/upmc Cancer Associates | Radiology | 565 Coal Valley Road, Pittsburgh, PA 15025 | 2006-03-08 |
| 1518932961 | Theodore R Paladino | Dentist | 25 Gill Hall Road, Jefferson Hills, PA 15025 | 2006-02-21 |
| 1093789422 | Tegendra Singh Wallia | Internal Medicine | 612 Miller Ave, Clairton, PA 15025 | 2006-02-14 |
| 1902336423 | Kylie Zeiler | Registered Nurse | 565 Coal Valley Rd, Jefferson Hills, PA 15025 | 2017-06-18 |
| 1316324007 | Steven Alsobrook | Internal Medicine | 565 Coal Valley Rd, Jefferson Hills, PA 15025 | 2015-05-01 |
| Find all providers in zip 15025 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477980373 | Jefferson Internal Medicine PC | Non-Pharmacy Dispensing Site | 575 Coal Valley Rd, Suite 374, Clairton, PA 15025-3730 | 2013-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
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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.