Organization Active NPI

Firstcare Medical Services PC

  • Internal Medicine Physician
  • Edmond, OK
National Provider Identifier
1750504924
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3345 Issued in OK
Legal business name
FIRSTCARE MEDICAL SERVICES PC
Practice address
1616 S State St
Edmond, OK 73013-3600
Phone
(405) 681-2273
Fax
(405) 681-2274
NPI assigned
Apr 10, 2007
Last updated
Jun 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
John Joseph Chiaffitelli, D.O.NPI 1053391672
Title
Owner
Phone
(405) 681-2273

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
Internal Medicine Physician 207R00000X 3345 OK Primary

Addresses

Primary practice location

1616 S State St
Edmond, OK 73013-3600

Mailing address

1616 S State St
Edmond, OK 73013-3600
Phone (405) 681-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070917000110 OK Part B Supplier - Clinic/Group Practice 0840384244 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK; Oklahoma City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0951917Firstcare Medical Services1616 S State St, Edmond, OK 73013Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Locations

1616 S State St
Edmond, OK 73013
Phone (405) 726-8838

Practitioners & affiliated clinicians

Practitioners 2

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1750504924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S STATE ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133600",
            "telephone_number": "405-681-2273",
            "fax_number": "405-681-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S STATE ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133600",
            "telephone_number": "405-681-2273",
            "fax_number": "405-681-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTCARE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "CHIAFFITELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-681-2273",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "3345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.