Provider Demographics
NPI: | 1316261993 |
---|---|
Name: | PRIME MEDICAL ASSOCIATES,LLC |
Entity type: | Organization |
Organization Name: | PRIME MEDICAL ASSOCIATES,LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PARTNER/MANAGER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | PEDRO |
Authorized Official - Middle Name: | C |
Authorized Official - Last Name: | FALLA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 508-979-1100 |
Mailing Address - Street 1: | 237A STATE RD |
Mailing Address - Street 2: | |
Mailing Address - City: | DARTMOUTH |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 02747-2612 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 508-993-9760 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 237A STATE RD |
Practice Address - Street 2: | |
Practice Address - City: | NORTH DARTMOUTH |
Practice Address - State: | MA |
Practice Address - Zip Code: | 02747-2612 |
Practice Address - Country: | US |
Practice Address - Phone: | 508-979-1100 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-03-25 |
Last Update Date: | 2023-12-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | Group - Multi-Specialty |
No | 204C00000X | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine, Sports Medicine | Group - Multi-Specialty | |
No | 204D00000X | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine & OMM | Group - Multi-Specialty | |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
No | 2081N0008X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Neuromuscular Medicine | Group - Multi-Specialty |
No | 2081P0004X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Spinal Cord Injury Medicine | Group - Multi-Specialty |
No | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |
No | 2084S0012X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Sleep Medicine | Group - Multi-Specialty |
No | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | Group - Multi-Specialty |
No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | Group - Multi-Specialty |
No | 335E00000X | Suppliers | Prosthetic/Orthotic Supplier | Group - Multi-Specialty |