Organization Active NPI

Firstcare Medical Center

  • Internal Medicine Physician
  • Denton, TX
National Provider Identifier
1841545522
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6978 Issued in TX
Legal business name
FIRSTCARE MEDICAL CENTER
Practice address
2185 Brinker Rd
Denton, TX 76208-6986
Phone
(940) 384-1809
Fax
(940) 384-7744
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Ikenna Adugba, M.D.
Title
Medical Director
Phone
(940) 384-1809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X K6978 TX Primary

Addresses

Primary practice location

2185 Brinker Rd
Denton, TX 76208-6986

Mailing address

2185 Brinker Rd
Denton, TX 76208-6986
Phone (940) 384-1809

Other identifiers 1

IdentifierTypeStateIssuer
131165611MedicaidTX

Other names 1

  • Primecare Medical Center Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1841545522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 BRINKER RD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086986",
            "telephone_number": "940-384-1809",
            "fax_number": "940-384-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 BRINKER RD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086986",
            "telephone_number": "940-384-1809",
            "fax_number": "940-384-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTCARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "ADUGBA",
        "authorized_official_first_name": "IKENNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "940-384-1809",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131165611",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primecare Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.