Provider Demographics
NPI:1194876847
Name:PREFERRED PRIMARY CARE PHYSICIANS
Entity type:Organization
Organization Name:PREFERRED PRIMARY CARE PHYSICIANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:R
Authorized Official - Last Name:ERHARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:412-531-2902
Mailing Address - Street 1:701 TECHNOLOGY DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9531
Mailing Address - Country:US
Mailing Address - Phone:412-531-2902
Mailing Address - Fax:412-531-2948
Practice Address - Street 1:3928 WASHINGTON RD STE 220
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2594
Practice Address - Country:US
Practice Address - Phone:724-941-8877
Practice Address - Fax:724-941-4745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015176090002Medicaid
PA0015176270002Medicaid
PA0011374210007Medicaid
PA0015978240001Medicaid
PA0015317420009Medicaid
PA0017505980004Medicaid
PA472020JFZMedicare ID - Type Unspecified
PA105248JFZMedicare ID - Type Unspecified
PA0015176090002Medicaid
PA0017505980004Medicaid
PAF88547Medicare UPIN
PAC29486Medicare UPIN
PA458782JFZMedicare ID - Type Unspecified
PAC30190Medicare UPIN
PA0015176270002Medicaid
PA0011374210007Medicaid
PAG08890Medicare UPIN
PA027104JFZMedicare ID - Type Unspecified