Care First Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CARE FIRST MEDICAL CENTER

Practice address

3307 Broadway St
Ste 140
Mount Vernon, IL 62864-2347

Phone

(618) 244-7200

Fax

(618) 244-7274

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Veena K Gupta, M.D.

Title

Ceo

Phone

(618) 244-7200

Specialties & licenses 3

Addresses

Locations

Practitioners 4

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

• James Edward Keeler, PA-C

  • Medical Physician Assistant
  • Mount Vernon, IL
  • NPI 1346376274
  NPD
• Naresh Kumar Agarwal, M.D.

  • Internal Medicine Physician
  • Garland, TX
  • NPI 1538134960
  NPD (past)
• Zaki Hossain Chowdhury, M.D.

  • Internal Medicine Physician
  • Ste Genevieve, MO
  • NPI 1366456022
  NPD (past)
• Sriram Maitra, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1013982297
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1598777435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 BROADWAY ST",
            "address_2": "STE 140",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642347",
            "telephone_number": "618-244-7200",
            "fax_number": "618-244-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 BROADWAY ST",
            "address_2": "STE 140",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642347",
            "telephone_number": "618-244-7200",
            "fax_number": "618-244-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FIRST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "VEENA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-244-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caravilla Residential Centers, Inc (Mt Vernon Care Center)
• Caravilla Residential Centers, Inc (Casey Care Center)
• Caravilla Residential Centers, Inc (Jeffersonian Health Care)
• Hope Ellen Carbonaro, MSW LCSW
• Cardiovascular Specialists of Illinois LTD
• Care Medical Supplies Inc (Rotech of Mount Vernon)
• Stacie Lynn Carr, LCSW
• Juan Alfredo Carrillo, MD
• Amy Jo Cates, LCSW
• Catholic Social Services Mt. Vernon (Caritas Family Solutions)

• Family Medicine Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.