Organization Active NPI

First Care PC

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1366553364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRST CARE PC
Practice address
4053 Taylor Rd
Suite K
Chesapeake, VA 23321-5537
Phone
(757) 483-6401
Fax
(757) 686-3025
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Pat Butler
Title
Billing Manager
Phone
(757) 638-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

4053 Taylor Rd
Suite K
Chesapeake, VA 23321-5537

Mailing address

4053 Taylor Rd
Suite K
Chesapeake, VA 23321-5537
Phone (757) 483-6401

Other identifiers 1

IdentifierTypeStateIssuer
CL6299OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050215001128 VA Part B Supplier - Clinic/Group Practice 1557351939 Receives reassigned benefits from 10 practitioners
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

4053 Taylor Rd
Ste K
Chesapeake, VA 23321
Phone (757) 483-6401

616 Happy Acres Rd
Ste 200
Chesapeake, VA 23323
Phone (757) 485-5027

1105 Halifax Ave
Portsmouth, VA 23707
Phone (804) 399-8323

1301 Rodman Ave
Portsmouth, VA 23707
Phone (757) 399-3057

2595 Victory Blvd
Portsmouth, VA 23702
Phone (757) 487-4949

3706 Winchester Dr
#200
Portsmouth, VA 23707
Phone (757) 393-4124

6004 High St W
Portsmouth, VA 23703
Phone (804) 484-7900

397 Little Neck Rd
Ste 300
Virginia Beach, VA 23452

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366553364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD",
            "address_2": "SUITE K",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215537",
            "telephone_number": "757-483-6401",
            "fax_number": "757-686-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD",
            "address_2": "SUITE K",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215537",
            "telephone_number": "757-483-6401",
            "fax_number": "757-686-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "757-638-0085",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL6299",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.