NPIMap

Organization Active NPI

First Care Family Physicians, PC

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1659372274
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRST CARE FAMILY PHYSICIANS, PC
Practice address
1515 Hobson Rd
Fort Wayne, IN 46805-4802
Phone
(260) 422-2481
Fax
(260) 969-3067
NPI assigned
Aug 4, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Richard E Tielker, M.D.NPI 1881709418
Title
Cfo
Phone
(260) 422-2481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IN Primary

Addresses

Primary practice location

1515 Hobson Rd
Fort Wayne, IN 46805-4802

Mailing address

1515 Hobson Rd
Fort Wayne, IN 46805-4802
Phone (260) 422-2481

National Provider Directory

National Provider Directory

Locations

107 E Jefferson St
Albion, IN 46701
Phone (219) 636-2643

11135 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 422-2481

1515 Hobson Rd
Fort Wayne, IN 46805
Phone (219) 422-2481

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659372274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HOBSON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054802",
            "telephone_number": "260-422-2481",
            "fax_number": "260-969-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOBSON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054802",
            "telephone_number": "260-422-2481",
            "fax_number": "260-969-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE FAMILY PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TIELKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "260-422-2481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.