Organization Active NPI

First Stop Urgent Care Madison PSC

  • Family Medicine Physician
  • Madison, IN
National Provider Identifier
1538474580
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRST STOP URGENT CARE MADISON PSC
Practice address
311 E Clifty Dr
Madison, IN 47250-4621
Phone
(502) 593-0083
NPI assigned
Aug 15, 2010
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Dr. Kamlesh C. Dave, MDNPI 1679599500
Title
President/Owner
Phone
(502) 693-2465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

311 E Clifty Dr
Madison, IN 47250-4621

Mailing address

311 E Clifty Dr
Madison, IN 47250-4621
Phone (502) 593-0083

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1281830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1538474580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472504621",
            "telephone_number": "502-593-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472504621",
            "telephone_number": "502-593-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STOP URGENT CARE MADISON PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-15",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "KAMLESH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "502-693-2465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.