First State Family Practice, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C10006722 Issued in DE

Legal business name

FIRST STATE FAMILY PRACTICE, INC

Practice address

222 Carter Dr
Suite 101
Middletown, DE 19709-5854

Phone

(302) 378-5494

Fax

(302) 378-1760

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

John Kehagias, MD

Title

Physician/Owner

Phone

(302) 378-5494

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 3

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

• Ioannis Kehagias-Athanassopulos, MD

  • Family Medicine Physician
  • Middletown, DE
  • NPI 1497839419
  Medicare reassignment NPD
• Kate M Olson, P.A.-C

  • Physician Assistant
  • Middletown, DE
  • NPI 1639464456
  Medicare reassignment
• Laxmichand Dedhia, M.D.

  • Family Medicine Physician
  • Middletown, DE
  • NPI 1508845132
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1821172834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CARTER DR",
            "address_2": "SUITE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095854",
            "telephone_number": "302-378-5494",
            "fax_number": "302-378-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CARTER DR",
            "address_2": "SUITE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095854",
            "telephone_number": "302-378-5494",
            "fax_number": "302-378-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "KEHAGIAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "302-378-5494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10006722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000021662",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080195041",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2148253000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPCI",
            "identifier": "1000021662",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "1463747",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3157375",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Feeny, M.A., NCSP
• Mary C. Fenimore, CADC
• Donna L Fenton, M.A.
• Patricia Hansen Figgs, M.D.
• Jeffrey S Filandro, O.D.
• First State Internal Medicine PC
• First State Neurology, LLC
• First State Orthopaedics PA
• First State Orthopaedics PA
• Beth Fisher, DO

• Family Medicine Physician in Middletown, DE
• Providers in Middletown, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.