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 |