First Med Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FIRST MED PRIMARY CARE LLC

Practice address

1142 SW 104TH St
Oklahoma City, OK 73139

Phone

(405) 691-3100

Fax

(405) 691-3106

NPI assigned

Jan 3, 2020

Organization subpart

No

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

Authorized official

Name

Todd Kee

Title

Chief Operating Officer

Phone

(405) 691-3100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anny Lou Mandapat Dunham, APRN-CNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1194368316
  NPD
• Vanessa Mae Jordan, DPT

  • Physical Therapist
  • Eagan, MN
  • NPI 1780836361
  NPD (past)

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1447899778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034865",
            "telephone_number": "405-691-3100",
            "fax_number": "405-691-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 SW 104TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-691-3100",
            "fax_number": "405-691-3106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 N Kelly Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730034865",
            "country_code": "US",
            "telephone_number": "405-844-1633",
            "fax_number": "405-285-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST MED PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "KEE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "405-691-3100"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Impressions Dentistry
• First Med Clinic 39TH LLC
• First Med Clinic Penn LLC
• First Med Clinic S 104TH LLC
• First Med Clinic S Walker LLC
• Ashley Firth, RBT
• Keith Kurt Fischborn, MD
• Laura E Fischer, M.D., M.S.
• Layna Fischer
• Melda Gay Fischer, LPC

• Primary Care Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.