Organization Active NPI

1St Call Urgent Care

  • Emergency Medicine Physician
  • Debbary, FL
National Provider Identifier
1407320476
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
1ST CALL URGENT CARE
Practice address
173 North C.R. Beall Blvd.
Suite 106
Debbary, FL 32713
Phone
(662) 820-1099
NPI assigned
Jan 14, 2019
Last updated
Apr 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Dr. John Kayoma, MD
Title
Owner
Phone
(662) 820-1099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

173 North C.R. Beall Blvd.
Suite 106
Debbary, FL 32713

Mailing address

PO Box 950819
Lake Mary, FL 32795-0819
Phone (662) 820-1099

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1407320476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950819",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327950819",
            "telephone_number": "662-820-1099",
            "fax_number": "321-926-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 NORTH C.R. BEALL BLVD.",
            "address_2": "SUITE 106",
            "city": "DEBBARY",
            "state": "FL",
            "postal_code": "32713",
            "telephone_number": "662-820-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CALL URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "KAYOMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-820-1099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.