Organization Active NPI

Firstcare Medical Center, PC

  • Cardiovascular Disease Physician
  • Alamo, TN
National Provider Identifier
1124234380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

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
Emmanuel I Obi, MD
Title
Medical Director
Phone
(731) 772-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3377799MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Firstcare Medical Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.