MEDICARE: PREFERRED PRIMARY CARE PHYSICIANS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174400000X	Specialist
2	207R00000X	Internal Medicine Physician
3	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912058678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED PRIMARY CARE PHYSICIANS

Provider Business Mailing Address
First Line	:	701 TECHNOLOGY DR STE 150
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-9531
Country	:	US
Telephone Number	:	412-531-2902
Fax Number	:	412-531-2948

Provider Business Practice Location Address
First Line	:	300 FLEET ST
Second Line	:	SUITE 100
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-2903
Country	:	US
Telephone Number	:	412-920-0040
Fax Number	:	412-920-8129

Authorized Official
Title or Position	:	CEO
Name	:	GREGORY R ERHARD JR.
Credential	:
Telephone Number	:	412-531-2902

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	03/23/2023

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Directions to “PREFERRED PRIMARY CARE PHYSICIANS ” Practice Location

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