PRIME CARE PROVIDERS LLC (NPI# 1992353619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992353619 |
| Entity Type | Organization |
| Organization Name | PRIME CARE PROVIDERS LLC |
| Practice Address |
1013 Menoher Blvd Johnstown PA 15905-2544 |
| Practice Telephone | 8142544885 |
| Mailing Telephone | 8142544885 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | DR. GEORGE J FREM (CEO) |
| Authorized Official Telephone | 8142544885 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1013 MENOHER BLVD |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245227727 | Slater Laboratories Inc | Clinical Medical Laboratory | 1013 Menoher Blvd, Johnstown, PA 15905-2544 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| 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 |
|---|---|---|---|---|
| 1699290411 | Rg Vargo Do Inc | Family Medicine | 738 W Coshocton St, Johnstown, OH 43031-9581 | 2017-08-14 |
| 1972957132 | Travis Rearick | Family Medicine | 1450 Scalp Ave # 3b, Johnstown, PA 15904-3321 | 2016-04-14 |
| 1598025801 | Prerana Bhupendrakumar Patel | Family Medicine | 1 Tech Park Dr Ste 1130, Johnstown, PA 15901-2517 | 2012-05-21 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1871814624 | Richard Adam Wagner | Family Medicine | 295 County Hwy. 156, Johnstown, NY 12095-4123 | 2010-06-16 |
| 1720240112 | Jimmy Pyakurel | Family Medicine | 334 Bloomfield St Ste 205, Johnstown, PA 15904-3269 | 2008-06-27 |
| 1205007820 | Conemaugh Health Initiatives | Family Medicine | 338 Bloomfield St, Johnstown, PA 15904-3272 | 2008-03-24 |
| 1144369869 | Carol E. Kowtoniuk | Family Medicine | 226 Fairfield Ave, Johnstown, PA 15906-2310 | 2007-02-06 |
| 1861531766 | Sharon Marie Plank | Family Medicine | 1450 Scalp Ave Ste 1000, Johnstown, PA 15904-3335 | 2007-02-06 |
| 1942399134 | Cara E. Brown | Family Medicine | 473 Castle Pines Ave Ste 1, Johnstown, CO 80534-7859 | 2006-10-12 |
| Find all providers in JOHNSTOWN | ||||
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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.