MEDICARE: PRIMARY CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101244710	VA

General Provider Information

NPI Number	:	1790100261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY CARE PLLC

Provider Business Mailing Address
First Line	:	4102 E PARHAM RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23228-2743
Country	:	US
Telephone Number	:	804-912-2359
Fax Number	:

Provider Business Practice Location Address
First Line	:	4102 E PARHAM RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23228-2743
Country	:	US
Telephone Number	:	804-912-2359
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	THANH-HA PHAM
Credential	:
Telephone Number	:	804-912-2359

Provider Enumeration Date	:	02/20/2014
Last Update Date	:	02/20/2014

Similar Medicare Providers

1003131723 — MS. ELIZABETH WISE CCC/SLP
Practice Location Address:

4102 E PARHAM RD
HENRICO, VA
23228-2743

Practice Phone: 804-672-8588
Practice Fax: 804-672-8587

1497042709 — MS. SHELBY ZANKS M.S. CCC-SLP
Practice Location Address:

4102 E PARHAM RD STE A
HENRICO, VA
23228-2743

Practice Phone: 804-672-8588
Practice Fax: 804-672-8587

1295049369 — MRS. LAURA BETH SAMPSON M. ED
Practice Location Address:

4102 E PARHAM RD , SUITE A
RICHMOND, VA
23228-2743

Practice Phone: 804-672-8588
Practice Fax: 804-672-8587

1902110786 — MRS. MARY CARTER GOODMAN M.S. CCC-SLP
Practice Location Address:

4102 E PARHAM RD , SUITE A
RICHMOND, VA
23228-2743

Practice Phone: 804-672-8588
Practice Fax: 804-672-8587

1164365151 — E & E INC
Practice Location Address:

1517 STONY FORCE DR
HENRICO, VA
23228-3363

Practice Phone: 804-477-9436
Practice Fax:

1043744949 — JAKE LOWE D.C.
Practice Location Address:

2101 E PARHAM RD STE 103
HENRICO, VA
23228-2234

Practice Phone: 813-466-4994
Practice Fax: 813-315-6436

Directions to “PRIMARY CARE PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.