Active NPI
Firstcare Medical Center, PC
- Cardiovascular Disease Physician
- Alamo, TN
National Provider Identifier
1124234380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- FIRSTCARE MEDICAL CENTER, PC
- Practice address
- 281-4 Climer Loop Road
Alamo, TN 38001 - Phone
- (731) 696-2142
- Fax
- (731) 696-2159
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmanuel I Obi, MD
- Title
- Medical Director
- Phone
- (731) 772-3442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
281-4 Climer Loop Road
Alamo, TN 38001
Mailing address
Box 1798 Dept 07-031
Memphis, TN 38101
Phone (731) 696-2142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3377799 | Medicaid | TN |
National Provider Directory
National Provider Directory- Tax ID family
- Firstcare Medical Center PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Jackson, TN
- NPI 1922212067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124234380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 1798 DEPT 07-031",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38101",
"telephone_number": "731-696-2142",
"fax_number": "731-696-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281-4 CLIMER LOOP ROAD",
"city": "ALAMO",
"state": "TN",
"postal_code": "38001",
"telephone_number": "731-696-2142",
"fax_number": "731-696-2159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRSTCARE MEDICAL CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OBI",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "731-772-3442",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3377799",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alamo, TN
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.