First Team Medical Clinics, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

905 Issued in OH

Legal business name

FIRST TEAM MEDICAL CLINICS, LLC

Practice address

1654 Mardon Dr
Beavercreek, OH 45432-1949

Phone

(937) 426-9265

NPI assigned

Sep 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Paul Palkowski

Title

Ceo

Phone

(937) 426-9265

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1487022927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 MARDON DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454321949",
            "telephone_number": "937-426-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 MARDON DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454321949",
            "telephone_number": "937-426-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST TEAM MEDICAL CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "PALKOWSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-426-9265",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Elaine Ferguson, HAD
• Laura Ferguson
• Zane Ferguson
• Amy Lynn Ficklin, ATC., AT.
• N'Lou Figueras, LPN
• Julie Fischer, LISW
• Amanda E Fisher, CST
• Abbey C Flanik, PT, DPT
• Caitlin Riley Flynn, PA-C
• Ryan Edward Flynn, DO

• Family Medicine Physician in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.