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
- 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) |
---|---|---|---|---|
1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
2 | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | |
3 | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
4 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
5 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
6 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
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. | |||||||||
1 | 9 | 6 | 2 | 8 | 0 | 4 | 9 | 5 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 12 | 2 | 16 | 0 | 8 | 9 | 10 | |
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 = 5 | 5 |
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
ANNE-LISE ARMSTRONG M.D.
Internal Medicine
991 PARK AVE
MEADVILLE, PA
ZIP 16335
GARY E PASQUALICCHIO DO
Internal Medicine
(Geriatric Medicine)
991 PARK AVE
MEADVILLE, PA
ZIP 16335
NADINE ANDREA YOHN CRNP
Nurse Practitioner
(Gerontology)
991 PARK AVE
MEADVILLE, PA
ZIP 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.