First Intermed Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FIRST INTERMED CORPORATION

Practice address

1777 Ellis Ave
Jackson, MS 39204-3616

Phone

(601) 371-0400

Fax

(601) 371-1533

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Sam Scott

Title

Cfo

Phone

(601) 898-7525

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEA Medical Clinics Doing business as

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1801820808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 ELLIS AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043616",
            "telephone_number": "601-371-0400",
            "fax_number": "601-371-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 ELLIS AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043616",
            "telephone_number": "601-371-0400",
            "fax_number": "601-371-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST INTERMED CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-898-7525"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH7895",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015301.",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEA Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Finn, DO
• Joseph Francis Finnegan, LCSW
• William Blaine Finnie, PT
• First Choice Orthotics & Prosthetics Inc.
• First Intermed Corporation
• First Love Senior Care
• First Sight LLC
• Hal Gregory Fiser, MD
• Erica Fisher-Kador
• Daisy Eileen Fisher, NP

• Family Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.