Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primary Care Group 12, Inc

Organization Family Medicine Physician · NPI 1881903532

Primary Care Group 12, Inc is a Family Medicine Physician in Charleroi, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

17 Arentzen Blvd Ste 101
Charleroi, PA 15022-1085
Phone: (724) 483-3581
Fax: (724) 483-3483
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD053835L (PA)

Record details

NPI number1881903532
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJefferson Regional Medical Center
Authorized official Umberto Derienzo — President · (724) 483-3581
Other names Derienzo Family Practice
NPI enumeratedSeptember 29, 2010
Last updated in NPPESMarch 21, 2011
Mailing address17 Arentzen Blvd, Suite 101, Charleroi, PA 15022-1085

Other providers in Charleroi