CENTRAL PA PRIMARY CARELLC
NPI 1053279661
Physician Assistant - Medical in Altoona, PA

Active since January 13, 2026
914 S 12TH ST, ALTOONA, PA 16602(814) 201-2309(814) 201-2389 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Pa Primary Carellc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL PA PRIMARY CARELLC (NPI 1053279661) is a healthcare organization registered as a medical in Altoona, Pennsylvania and active in the NPI registry since January 2026. The organization maintains a secondary practice location in Patton and lists Ziad Khoury, Owner, as its authorized official.

NPPES Registry Identity

NPI1053279661
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameCENTRAL PA PRIMARY CARELLC
Location Address914 S 12TH STAltoona, PA 16602-6247
Mailing Address914 S 12th StAltoona, PA 16602-6247 · (814) 201-2309 · Fax (814) 201-2389
Fax(814) 201-2389
Organization SubpartNo
Authorized OfficialZiad KhouryOwner · (814) 201-2309
Enumeration DateJanuary 13, 2026
NPPES CertifiedJanuary 13, 2026
NPI 1053279661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
914 S 12TH ST, Altoona, PA 16602

Secondary Practice Location 1

Location 1350 Birch StPatton, PA 16668-1138 · Phone (814) 201-2309 · Fax (814) 201-2389

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
914 S 12TH ST
ALTOONA, PA 16602
Surgery
914 S 12TH ST
ALTOONA, PA 16602
Nurse Practitioner
914 S 12TH ST
ALTOONA, PA 16602
Nurse Practitioner (Adult Health)
914 S 12TH ST
ALTOONA, PA 16602
Physician Assistant
914 S 12TH ST
ALTOONA, PA 16602
Nurse Practitioner (Family)
914 S 12TH ST
ALTOONA, PA 16602
Podiatrist
914 S 12TH ST
ALTOONA, PA 16602
Podiatrist (Foot & Ankle Surgery)
914 S 12TH ST
ALTOONA, PA 16602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central PA Primary Carellc's NPI number?

The NPI number for Central PA Primary Carellc is 1053279661. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is Central PA Primary Carellc located?

Central PA Primary Carellc is located at 914 S 12th St, Altoona, PA 16602. The listed phone number is (814) 201-2309.

What is Central PA Primary Carellc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Central PA Primary Carellc was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.