Provider Demographics
NPI:1336195932
Name:PRIMARY CARE ASSOC OF N
Entity Type:Organization
Organization Name:PRIMARY CARE ASSOC OF N
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:P
Authorized Official - Last Name:RIGBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-678-7782
Mailing Address - Street 1:PO BOX 271
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44222-0271
Mailing Address - Country:US
Mailing Address - Phone:330-678-7782
Mailing Address - Fax:330-678-7301
Practice Address - Street 1:307 W MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-2400
Practice Address - Country:US
Practice Address - Phone:330-678-7782
Practice Address - Fax:330-678-7301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0460700Medicaid
CD2406Medicare PIN
9277052Medicare PIN