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PRIMECARE OF SOUTHEASTERN OHIO INC. NPI 1417932294


NPI Information

NPI: 1417932294
Provider Name: PRIMECARE OF SOUTHEASTERN OHIO, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D1071104

Address:
751 FOREST AVE STE 402
ZANESVILLE, OH
ZIP 43701
Phone: (740) 454-4651
Get Directions

PRIMECARE OF SOUTHEASTERN OHIO, INC. is a family medicine in Zanesville, OH. The provider is 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. PRIMECARE OF SOUTHEASTERN OHIO, INC. NPI is 1417932294. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

751 FOREST AVE STE 402
ZANESVILLE, OH
ZIP 43701-878
Phone: (740) 454-4651
Fax: (740) 454-4653

The provider's authorized official is Dave Lucey .
The authorized official title is Coo and has the following contact phone number (740) 454-4651.

The CLIA number assigned to this NPI record is 36D1071104 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/14/2005 and was last updated on 3/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsNo
5225100000XPhysical TherapistNo
6363L00000XNurse PractitionerNo
7207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10989499MEDICAIDOHIO
2CA1586OTHERMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.