PRIMARY CARE SERVICES
NPI 1962804955
Internal Medicine in Meadville, PA

NPI Status: Active since September 22, 2014

Contact Information

991 PARK AVE
MEADVILLE, PA
ZIP 16335
Phone: (814) 373-4298
Fax: (814) 724-2196

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  • Organization
  • Internal Medicine
  • CLIA Number: 39D2301106
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-20-2026

About PRIMARY CARE SERVICES

This page provides the complete NPI Profile along with additional information for Primary Care Services, an internist established in Meadville, Pennsylvania operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1962804955 assigned on September 2014. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Primary Care Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Cory Jackson (Controller)

NPI
1962804955
Provider Name
PRIMARY CARE SERVICES
Entity Type
Organization
Location Address
991 PARK AVE MEADVILLE, PA 16335
Location Phone
(814) 373-4298
Location Fax
(814) 724-2196
Mailing Address
1034 GROVE ST MEADVILLE, PA 16335
Mailing Phone
(814) 373-4298
Mailing Fax
(814) 724-2196
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-22-2014
Last Update Date
12-18-2024
Code Navigator

An internist like Primary Care Services is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 12387 Conneaut Lake Rd
    Conneaut Lake, PA 16316
    (814) 382-0221
  • 8508 State Highway 285
    Conneaut Lake, PA 16316
    (814) 382-5703
  • 180 N Franklin St Ste B
    Cochranton, PA 16314
    (814) 425-1126
  • 210 N Mercer St
    Linesville, PA 16424
    (814) 683-2014
  • 1015 Grove St
    Meadville, PA 16335
    (814) 724-3333
  • 901 Water St
    Meadville, PA 16335
    (814) 333-5711
  • 2425 Garden Way Ste 102
    Hermitage, PA 16148
    (724) 981-1777
  • 707 Erie St
    Saegertown, PA 16433
    (814) 763-2010
  • 7264 Warren Sharon Rd
    Brookfield, OH 44403
    (330) 448-7800
  • 62 Strawbridge Ave
    Sharon, PA 16146
    (724) 347-2955
  • 880 W Liberty St
    Hubbard, OH 44425
    (330) 269-1934

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207QA0505XAllopathic & Osteopathic Physicians

Family Medicine
Adult Medicine

 
3207RG0300XAllopathic & Osteopathic Physicians

Internal Medicine
Geriatric Medicine

 
4363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 
5363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 
6363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CORY JACKSON

Authorized Official Title
CONTROLLER
Authorized Official Phone
(814) 333-5766

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2301106
Facility Type
Physician Office
Certificate Effective Date
March 21, 2024
Certificate Expiration Date
March 20, 2026
Laboratory Director
DR. DIANE E. EMES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Primary Care Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PRIMARY CARE SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962804955
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221608910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 6 + 0 + 8 + 9 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1962804955 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

DEDHAM DIALYSIS LLC

Clinic/Center

(End-Stage Renal Disease (ESRD) Treatment)

991 PARK AVE
MEADVILLE, PA
ZIP 16335

(814) 336-2531

ANNE-LISE ARMSTRONG M.D.

Internal Medicine

991 PARK AVE
MEADVILLE, PA
ZIP 16335

(814) 373-4298

GARY E PASQUALICCHIO DO

Internal Medicine

(Geriatric Medicine)

991 PARK AVE
MEADVILLE, PA
ZIP 16335

(814) 373-4298

NADINE ANDREA YOHN CRNP

Nurse Practitioner

(Gerontology)

991 PARK AVE
MEADVILLE, PA
ZIP 16335

(814) 373-4298

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962804955, enumerated as an "organization" on September 22, 2014.

The provider is located at 991 PARK AVE MEADVILLE, PA 16335 and the phone number is (814) 373-4298.

Internal Medicine with taxonomy code 207R00000X.