PRIMARY HEALTH NETWORK (NPI# 1962402339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962402339 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH NETWORK |
| Other Organization Name | NONE |
| Practice Address |
83 Hillcrest Dr Punxsutawney PA 15767-2605 |
| Mailing Address |
100 Shenango Ave P.o. Box 716 Sharon PA 16146-1503 |
| Practice Telephone | 8149383310 |
| Practice Fax Number | 8149386804 |
| Mailing Telephone | 7243425313 |
| Mailing Fax Number | 7243425318 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2013-01-08 |
| Authorized Official Name | MS. LISA CALABRIA (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7247048886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA002065 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1459050 | 05 |
| Other Name | Type Code |
|---|---|
| NONE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179063 | Primary Health Network | Clinic/Center | 811 Grandview Rd Ste 100, Oil City, PA 16301-2077 | 2019-08-15 |
| 1649739319 | Primary Health Network | Clinic/Center | 120 S Martin St, Titusville, PA 16354-1850 | 2019-03-13 |
| 1043711385 | Primary Health Network | Clinic/Center | 152 Zeman Drive, Suite 301, Ebensburg, PA 15931-4130 | 2018-02-22 |
| 1043609480 | Primary Health Network | Clinic/Center | 1885 Market St Ste B, Warren, PA 16365-1278 | 2015-01-22 |
| 1295087617 | Primary Health Network | Clinic/Center | 1555 Shawna Rd., Cherry Tree, PA 15724-9003 | 2012-10-09 |
| 1396074324 | Primary Health Network | Clinic/Center | 802 Mckinley Street, Bolivar, PA 15923-0038 | 2009-12-22 |
| 1275730202 | Primary Health Network | Clinic/Center | 2000 Green St, Farrell, PA 16121-1364 | 2007-07-02 |
| 1265639553 | Primary Health Network | Non-Pharmacy Dispensing Site | 419 Kellys Way, East Brady, PA 16028-1404 | 2007-06-29 |
| 1679779201 | Primary Health Network | Family Medicine | 4210 Crawford Ave, Northern Cambria, PA 15714-1342 | 2007-06-21 |
| 1750413159 | Primary Health Network | Clinic/Center | 197 E Silver St, Sharon, PA 16146-2186 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRIMARY HEALTH NETWORK | 100 Shenango Ave, Sharon, PA 16146-1503 |
| Street Address |
83 HILLCREST DR |
| City | PUNXSUTAWNEY |
| State | PA |
| Zip Code | 15767-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235678 | Dawn E Cekovsky | Physician Assistant | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2005-09-13 |
| 1215335302 | Punxsutawney Medical Services | Neuromusculoskeletal Medicine & OMM | 83 Hillcrest Dr, Suite 100, Punxsutawney, PA 15767-2605 | 2014-12-05 |
| 1295005361 | Family Health Care Center of Punxsutawney, Inc. | Clinic/Center | 83 Hillcrest Dr, Suite 200, Punxsutawney, PA 15767-2605 | 2012-01-06 |
| 1427335058 | Primary Health Network | Clinic/Center | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2011-11-10 |
| 1386859205 | Mazen Hasan | Urology | 83 Hillcrest Dr, Suite 100, Punxsutawney, PA 15767-2605 | 2007-05-14 |
| 1063636629 | Gustavo Jose Franco Vasquez | Surgery | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2007-04-12 |
| 1720179864 | Heather M Park | Physician Assistant | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2006-09-27 |
| 1871536821 | Punxsutawney Medical Associates, PC | Family Medicine | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2006-06-14 |
| 1093791246 | Phillip John States | Family Medicine | 83 Hillcrest Dr, Suite 200, Punxsutawney, PA 15767-2605 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754765 | Bearing Hope LLC | Counselor | 103 N Gilpin Street, Suite 314, Punxsutawney, PA 15767 | 2020-03-04 |
| 1679947378 | George Carlson | Health Maintenance Organization | 6068 Route 119, Punxsutawney, PA 15767 | 2015-11-18 |
| 1104211515 | Danielle Marie Nelson | Counselor | 200 Prushnok Drive Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1124413539 | Amanda Marie Rowland | Counselor | 200 Prushnok Drive, Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1821492083 | Collin Ross Nordby | Counselor | 200 Prushnok Drive, Suite 103, Punxsutawney, PA 15767 | 2014-10-17 |
| 1245545813 | Maureen Murphy Ginsburg | Physical Medicine & Rehabilitation | 551 W Mahoning St, Punxsutawney, PA 15767 | 2010-08-08 |
| 1932384138 | Donald M. Pallone | Nurse Practitioner | 531 North Main Street, Punxsutawney, PA 15767 | 2008-01-07 |
| 1952521106 | Anita Irene Baker | Physical Therapist | 217 Mcgee Lane, Punxsutawney, PA 15767 | 2007-04-30 |
| 1639290091 | Community Guidance Center | Clinic/Center | 200 Prushnok Drive - Lever Street, Suite 103, Punxsutawney, PA 15767 | 2007-04-03 |
| 1487602983 | Mulberry Square Elder Care and Rehabilitation Center LLC | Skilled Nursing Facility | 411 1/2 West Mahoning Street, Punxsutawney, PA 15767 | 2006-05-05 |
| Find all providers in zip 15767 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235678 | Dawn E Cekovsky | Physician Assistant | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2005-09-13 |
| 1780810051 | Angela Nicole Shaffer | Physician Assistant | 81 Hillcrest Dr, Suite 1300, Punxsutawney, PA 15767-2605 | 2009-06-01 |
| 1720179864 | Heather M Park | Physician Assistant | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2006-09-27 |
| 1770690893 | Cecilia Antonietta Groman | Physician Assistant | 200 Prushnok Dr, Punxsutawney, PA 15767-2343 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | PUNXSUTAWNEY |
| Zip Code | 15767 |
Please comment or provide details below to improve the information on PRIMARY HEALTH NETWORK.
| 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.