1. Home
  2. Directory
  3. Ohio
  4. Zanesville
  5. Family Medicine
  6. NPI Profile

PRIMECARE OF SOUTHEASTERN OHIO, INC.
NPI 1417932294
Family Medicine in Zanesville, OH

Active since December 14, 2005CLIA Certified · 6 labs
751 FOREST AVE STE 402, ZANESVILLE, OH 43701(740) 454-4651(740) 454-4653 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primecare Of Southeastern Ohio, Inc. NPPES

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

PRIMECARE OF SOUTHEASTERN OHIO, INC. (NPI 1417932294) is a healthcare organization registered as a family medicine in Zanesville, Ohio and active in the NPI registry since December 2005. The organization holds 6 active CLIA laboratory certificates and lists Dave Lucey, Coo, as its authorized official.

NPPES Registry Identity

NPI1417932294
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMECARE OF SOUTHEASTERN OHIO, INC.
Location Address751 FOREST AVE STE 402Zanesville, OH 43701-2878
Mailing Address860 Bethesda DrZanesville, OH 43701-1800 · (740) 454-4651 · Fax (740) 454-4653
Phone(740) 454-4651
Fax(740) 454-4653
Organization SubpartNo
Authorized OfficialDave LuceyCoo · (740) 454-4651
Enumeration DateDecember 14, 2005
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1417932294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedNurse PractitionerTaxonomy 363L00000X
751 FOREST AVE STE 402, Zanesville, OH 43701
Open in Google Maps ↗

Other Identifiers 2

Medicaid0989499OH
OtherCA1586Medicare Railroad

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1069607

Primecare Of Southeastern Ohio, Inc · Zanesville, OH
Active · expires Dec 7, 2026
CLIA Number36D1069607
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorJames V. Gasparine
Laboratory Phone(740) 454-4651
Laboratory LocationPrimecare Of Southeastern Ohio, Inc751 Forest Avenue, Suite 402, Zanesville, OH 43701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2324552

Primecare Of Southeastern Ohio, Inc · Zanesville, OH
Active · expires May 26, 2027
CLIA Number36D2324552
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorHenry Mcconaha
Laboratory Phone(740) 454-4651
Laboratory LocationPrimecare Of Southeastern Ohio, Inc751 Forest Avenue, Suite 400, Zanesville, OH 43701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D1089682

Primecare Of Southeastern Ohio, Inc · Zanesville, OH
Active · expires Sep 23, 2026
CLIA Number36D1089682
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorMichael D. Woolery
Laboratory Phone(740) 454-4651
Laboratory LocationPrimecare Of Southeastern Ohio, Inc930 Bethesda Drive, Zanesville, OH 43701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D1071104

Primecare Of Southeastern Ohio, Inc · Zanesville, OH
Active · expires Jul 17, 2027
CLIA Number36D1071104
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorBrian W. Luft
Laboratory Phone(740) 454-4851
Laboratory LocationPrimecare Of Southeastern Ohio, Inc751 Forrest Ave Suite 202, Zanesville, OH 43701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D2229394

Primecare Of Southeastern Ohio, Inc · Zanesville, OH
Active · expires Jul 11, 2027
CLIA Number36D2229394
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorSeth J. Vensil
Laboratory Phone(740) 454-8551
Laboratory LocationPrimecare Of Southeastern Ohio, Inc4063 Northpointe Drive, Suite B Suite 303, Zanesville, OH 43701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0332850

Primecare Of Southeastern Ohio, Inc · Zanesville, OH
Active · expires Feb 5, 2027
CLIA Number36D0332850
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorDavid Trebb
Laboratory Phone(740) 588-6283
Laboratory LocationPrimecare Of Southeastern Ohio, Inc751 Forest Avenue, Suite 401, Zanesville, OH 43701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

DR. WALTER WIELKIEWICZ M.D.
Family Medicine
751 FOREST AVE STE 402
ZANESVILLE, OH 43701
Muskingum County (740) 454-0196
JAMES GASPARINE M.D.
Family Medicine
751 FOREST AVE STE 402
ZANESVILLE, OH 43701
Muskingum County (740) 454-8551

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 Primecare Of Southeastern Ohio, Inc.'s NPI number?

The NPI number for Primecare Of Southeastern Ohio, Inc. is 1417932294. It was assigned to this organization in the NPPES registry on December 14, 2005.

Where is Primecare Of Southeastern Ohio, Inc. located?

Primecare Of Southeastern Ohio, Inc. is located at 751 Forest Ave Ste 402, Zanesville, OH 43701. The listed phone number is (740) 454-4651.

What is Primecare Of Southeastern Ohio, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Primecare Of Southeastern Ohio, Inc. hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Primecare Of Southeastern Ohio, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Molina Healthcare list Primecare Of Southeastern Ohio, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Primecare Of Southeastern Ohio, Inc. was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.