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PREMIER PRIMARY CARE PLC NPI 1790880623


NPI Information

NPI: 1790880623
Provider Name: PREMIER PRIMARY CARE, PLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
113 GAINSBOROUGH SQ STE 201
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 410-8745
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PREMIER PRIMARY CARE, PLC is an internal medicine in Chesapeake, VA. The provider is 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. PREMIER PRIMARY CARE, PLC NPI is 1790880623. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

113 GAINSBOROUGH SQ STE 201
CHESAPEAKE, VA
ZIP 23320-714
Phone: (757) 410-8745
Fax: (757) 410-8746

The provider's authorized official is Dipes K Ray .
The authorized official title is M.d. and has the following contact phone number (757) 410-8745.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineH82305VIRGINIANo
2207R00000XInternal MedicineG66860VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11109507OTHERFIRST HEALTH
270343OTHEROPTIMA
30007777515OTHERAETNA
47596518OTHERCIGNA
5173326 / 173327OTHERANTHEM
62182480OTHERFIRST HEALTH
73342321OTHERCIGNA
8114879 / 114964OTHERANTHEM
900V826P74MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAS. RAY
10=========OTHERVA HEALTH NETWORK
11C08974MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAGROUP #
1291697OTHEROPTIMA
13006636P74MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAD. RAY
14P00099937OTHERVIRGINIARAILROAD MEDICARE
157687230OTHERAETNA
16H82305MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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