PRIMARY CARE GROUP 12 INC. NPI 1881903532

NPI Information

  • NPI: 1881903532
  • Provider Name: PRIMARY CARE GROUP 12, INC.,
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: DERIENZO FAMILY PRACTICE
  • Address: 17 ARENTZEN BLVD
    SUITE 101
    CHARLEROI, PA
    ZIP 15022
  • Phone: (724) 483-3581

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NPI Details

PRIMARY CARE GROUP 12, INC., is a family medicine in Charleroi, PA. 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 GROUP 12, INC., NPI is 1881903532. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Derienzo Family Practice.

The provider's business location address is:

17 ARENTZEN BLVD
SUITE 101
CHARLEROI, PA
ZIP 15022-085
Phone: (724) 483-3581
Fax: (724) 483-3483

The provider's authorized official is Umberto A. Derienzo .
The authorized official title is President and has the following contact phone number (724) 483-3581.

The enumeration date for this NPI number is 9/29/2010 and was last updated on 3/21/2011.

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
1207Q00000XFamily MedicineMD053835LPENNSYLVANIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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