PRIMARY CARE SERVICES
NPI 1962804955
Internal Medicine in Meadville, PA

Active since September 22, 2014CLIA 39D2089283 · Waiver
991 PARK AVE, MEADVILLE, PA 16335(814) 373-4298(814) 724-2196 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2026, Jan 15, 2026, Dec 18, 2024 and 7 more (10 updates tracked since 2016).

About Primary Care Services NPPES

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

PRIMARY CARE SERVICES (NPI 1962804955) is a healthcare organization registered as an internal medicine in Meadville, Pennsylvania and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through December 23, 2026, maintains 13 additional practice locations, and lists Cory Jackson, Controller, as its authorized official.

NPPES Registry Identity

NPI1962804955
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMARY CARE SERVICES
Location Address991 PARK AVEMeadville, PA 16335-3344
Mailing Address1034 Grove StMeadville, PA 16335-2945 · (814) 373-4298 · Fax (814) 724-2196
Fax(814) 724-2196
Organization SubpartYes
Authorized OfficialCory JacksonController · (814) 333-5766
Enumeration DateSeptember 22, 2014
Last NPPES UpdateApril 24, 202610 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
NPI 1962804955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

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.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
991 PARK AVE, Meadville, PA 16335

Secondary Practice Locations 13

Location 1220 W Plum St Ste 750Edinboro, PA 16412-2169 · Phone (814) 333-5430 · Fax (814) 314-2901
Location 212387 Conneaut Lake RdConneaut Lake, PA 16316-4203 · Phone (814) 382-0221 · Fax (814) 382-0231
Location 3901 Water StMeadville, PA 16335-3434 · Phone (814) 333-5711 · Fax (814) 333-5712
Location 48508 State Highway 285Conneaut Lake, PA 16316-1120 · Phone (814) 382-5703 · Fax (814) 382-5707
Location 5180 N Franklin St Ste BCochranton, PA 16314-9706 · Phone (814) 425-1126 · Fax (814) 425-1156
Location 6210 N Mercer StLinesville, PA 16424-9232 · Phone (814) 683-2014 · Fax (814) 683-2042
Location 71015 Grove StMeadville, PA 16335-2905 · Phone (814) 724-3333 · Fax (814) 724-3302
Location 8707 Erie StSaegertown, PA 16433-5003 · Phone (814) 763-2010 · Fax (814) 763-5535
Location 92425 Garden Way Ste 102Hermitage, PA 16148-5215 · Phone (724) 981-1777 · Fax (724) 342-2879
Location 10880 W Liberty StHubbard, OH 44425-1753 · Phone (330) 269-1934 · Fax (330) 568-4297
Location 111009 Water StMeadville, PA 16335-3465 · Phone (814) 724-3333 · Fax (814) 724-3302
Location 1262 Strawbridge AveSharon, PA 16146-3234 · Phone (724) 347-2955 · Fax (724) 347-4664
Location 137264 Warren Sharon RdBrookfield, OH 44403-9691 · Phone (330) 448-7800 · Fax (330) 448-7747

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 39D2089283

Primary Care Services · Meadville, PA
Active · expires Dec 23, 2026
CLIA Number39D2089283
Laboratory TypePhysician Office
Certificate Effective DateDecember 24, 2024
Certificate Expiration DateDecember 23, 2026
Laboratory DirectorDr. Ryan D. Landefeld
Laboratory Phone(814) 373-4296
Laboratory LocationPrimary Care Services991 Park Avenue, Meadville, PA 16335
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
991 PARK AVE
MEADVILLE, PA 16335
Internal Medicine (Geriatric Medicine)
991 PARK AVE
MEADVILLE, PA 16335
Nurse Practitioner (Gerontology)
991 PARK AVE
MEADVILLE, PA 16335
Internal Medicine
991 PARK AVE
MEADVILLE, PA 16335
Internal Medicine
991 PARK AVE
MEADVILLE, PA 16335
Physician Assistant (Medical)
991 PARK AVE
MEADVILLE, PA 16335

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.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.