NPIMap

Organization Active NPI

1St Care Family Medicine, LLC

  • Family Medicine Physician
  • Buckeye, AZ
National Provider Identifier
1063702934
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38055 Issued in AZ
Legal business name
1ST CARE FAMILY MEDICINE, LLC
Practice address
1300 S Watson Rd Ste 104
Buckeye, AZ 85326-6264
Phone
(623) 251-3201
Fax
(623) 251-3205
NPI assigned
Apr 13, 2011
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Sultan Mohammad, MDNPI 1760699888
Title
Owner
Phone
(623) 251-3201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38055 AZ Primary

Addresses

Primary practice location

1300 S Watson Rd Ste 104
Buckeye, AZ 85326-6264

Mailing address

PO Box 11528
Goodyear, AZ 85318
Phone (623) 251-3201

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1063702934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11528",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85318",
            "telephone_number": "623-251-3201",
            "fax_number": "623-251-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S WATSON RD STE 104",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266264",
            "telephone_number": "623-251-3201",
            "fax_number": "623-251-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CARE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "MOHAMMAD",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-251-3201",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "38055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.