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PRIMARY CARE PHYSICIANS OF STOW LLC NPI 1750561643


NPI Information

NPI: 1750561643
Provider Name: PRIMARY CARE PHYSICIANS OF STOW, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D1014777

Address:
3917 DARROW RD
STOW, OH
ZIP 44224
Phone: (330) 686-8100
Get Directions

PRIMARY CARE PHYSICIANS OF STOW, LLC is a family medicine in Stow, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRIMARY CARE PHYSICIANS OF STOW, LLC NPI is 1750561643. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3917 DARROW RD
STOW, OH
ZIP 44224-621
Phone: (330) 686-8100
Fax: (330) 686-8102

The provider's authorized official is Pennie R Marchetti .
The authorized official title is Owner and has the following contact phone number (330) 686-8100.

The CLIA number assigned to this NPI record is 36D1014777 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/7/2007 and was last updated on 11/7/2007.


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 Medicine35063489MOHIOYes

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
1MA0717265MEDICARE PINOHIO
2F28491MEDICARE UPINOHIO
39335381MEDICARE PINOHIO
40876931MEDICAIDOHIO

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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