NPIMap

Organization Active NPI

First Care Medical Center PC

  • General Practice Physician
  • Knoxville, TN
National Provider Identifier
1306846449
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9319 Issued in TN
Legal business name
FIRST CARE MEDICAL CENTER PC
Practice address
108 W Inskip Dr
Ste B
Knoxville, TN 37912-4058
Phone
(865) 687-2277
Fax
(865) 689-5336
NPI assigned
Jul 29, 2005
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Chan Mak
Title
Office Manager
Phone
(865) 687-2277

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 24365 TN
General Practice Physician 208D00000X 9319 TN Primary

Addresses

Primary practice location

108 W Inskip Dr
Ste B
Knoxville, TN 37912-4058

Mailing address

108 W Inskip Dr
Ste B
Knoxville, TN 37912-4058
Phone (865) 687-2277

National Provider Directory

National Provider Directory

Locations

108 W Inskip Dr
Ste B
Knoxville, TN 37912
Phone (865) 687-2277

Practitioners & affiliated clinicians

Practitioners 12

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": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1306846449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W INSKIP DR",
            "address_2": "STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124058",
            "telephone_number": "865-687-2277",
            "fax_number": "865-689-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W INSKIP DR",
            "address_2": "STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124058",
            "telephone_number": "865-687-2277",
            "fax_number": "865-689-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "CHAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-687-2277"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TN",
            "license": "24365",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "9319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.