First Med PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD37960 Issued in SC

Legal business name

FIRST MED PC

Practice address

1795 Dr Frank Gaston Blvd
Rock Hill, SC 29732-1190

Phone

(516) 849-8385

Fax

(516) 830-3520

NPI assigned

Jun 20, 2017

Organization subpart

No

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

Authorized official

Name

Ndi Johnnie Maduako, MD

Title

Ceo

Phone

(516) 849-8385

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1508386640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 PROVIDENCE RD STE 500-119",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779719",
            "telephone_number": "516-849-8385",
            "fax_number": "516-830-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 DR FRANK GASTON BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321190",
            "telephone_number": "516-849-8385",
            "fax_number": "516-830-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MED PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "MADUAKO",
        "authorized_official_first_name": "NDI",
        "authorized_official_middle_name": "JOHNNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-849-8385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD37960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciarra J Fields
• Latoya R Fields
• Arleen Boling Fincher, RN
• First Care Medical Clinic
• First Impression Homecare
• Darryl Fisher
• Katherine Fisher, APRN
• Five Star Quality Care, Inc
• Koral Flanagan
• Alycia Fleming

• Family Medicine Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.