PRIME MEDICAL GROUP PCG1 NPI 1386886539

NPI Information

  • NPI: 1386886539
  • Provider Name: PRIME MEDICAL GROUP PCG1
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Other Name: PR CARDIOVASCULAR DIVISION
  • Address: 1645 ROSTRAVER RD
    SUITE 505
    BELLE VERNON, PA
    ZIP 15012
  • Phone: (724) 929-4930

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NPI Details

PRIME MEDICAL GROUP PCG1 is a cardiovascular disease internal medicine in Belle Vernon, PA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PRIME MEDICAL GROUP PCG1 NPI is 1386886539. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pr Cardiovascular Division.

The provider's business location address is:

1645 ROSTRAVER RD
SUITE 505
BELLE VERNON, PA
ZIP 15012-655
Phone: (724) 929-4930
Fax: (724) 929-4308

The provider's authorized official is Darla Sethman .
The authorized official title is Practice Administrator and has the following contact phone number (724) 929-2640.

The enumeration date for this NPI number is 4/2/2009 and was last updated on 4/2/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseMD042211CPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1031238GK7MEDICARE PINPENNSYLVANIA
2PENDINGOTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
3F68834MEDICARE UPINPENNSYLVANIA
40014690470002MEDICAIDPENNSYLVANIA

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: 11/21/2025

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