Provider Demographics
NPI:1205869922
Name:PRIORITY CARE, INC
Entity type:Organization
Organization Name:PRIORITY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:VISCUSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-833-2385
Mailing Address - Street 1:3010 W LAKE RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-3849
Mailing Address - Country:US
Mailing Address - Phone:814-833-2385
Mailing Address - Fax:814-833-5522
Practice Address - Street 1:3010 W LAKE RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-3849
Practice Address - Country:US
Practice Address - Phone:814-833-2385
Practice Address - Fax:814-833-5522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033929E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1730689OtherHIGHMARK
D03779OtherRAILROAD MEDICARE
5454190001Medicare NSC
D03779OtherRAILROAD MEDICARE