First City Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

306825 Issued in AK

Legal business name

FIRST CITY MEDICINE LLC

Practice address

212 Carlanna Lake Rd Ste 201
Box 6755
Ketchikan, AK 99901-5642

Phone

(907) 247-3301

Fax

(907) 247-3306

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy N Schulz, MDNPI 1851303903

Title

Manager

Phone

(907) 247-3301

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Stacy Norman Schulz, MD

  • Internal Medicine Physician
  • Ketchikan, AK
  • NPI 1851303903
  NPD (past) Authorized official
• Louis E. Kleager, M.D.

  • Otolaryngology Physician
  • Ketchikan, AK
  • NPI 1770645350
  NPD (past)
• Rebecca Lynn Bolling, NP

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1447448279
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417031618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CARLANNA LAKE RD STE 201",
            "address_2": "BOX 6755",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015642",
            "telephone_number": "907-247-3301",
            "fax_number": "907-247-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARLANNA LAKE RD STE 201",
            "address_2": "BOX 6755",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015642",
            "telephone_number": "907-247-3301",
            "fax_number": "907-247-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CITY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-247-3301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AK",
            "license": "306825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajijolola Fawole
• Glen A Fazakerley, CDCI
• Raquelle Elizabeth Felder
• Karen Fellowes
• Amauri L Fernandez
• Michelle Ann Fisher, DC
• Michael Fitzgerald
• May Ann Felarca Flood
• Amy Footit
• Paul Forrester

• Primary Care Clinic/Center in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Primary Care Clinic/Center in Alaska

• 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.