NPIMap

Organization Active NPI

First State Physicians, Inc.

  • Rehabilitation Chiropractor
  • Bear, DE
National Provider Identifier
1023224730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2002101782 Issued in DE
Legal business name
FIRST STATE PHYSICIANS, INC.
Practice address
12 Fox Hunt Dr
Bear, DE 19701-2534
Phone
(302) 836-6150
Fax
(302) 836-6294
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin J McDermott, D.C.
Title
Vice-President
Phone
(302) 836-6150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 2002101782 DE Primary

Addresses

Primary practice location

12 Fox Hunt Dr
Bear, DE 19701-2534

Mailing address

12 Fox Hunt Dr
Bear, DE 19701-2534
Phone (302) 836-6150

National Provider Directory

National Provider Directory

Locations

12 Foxhunt Dr
Bear, DE 19701
Phone (302) 836-6150

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023224730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FOX HUNT DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012534",
            "telephone_number": "302-836-6150",
            "fax_number": "302-836-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FOX HUNT DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012534",
            "telephone_number": "302-836-6150",
            "fax_number": "302-836-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "302-836-6150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "DE",
            "license": "2002101782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.