Carrollton First Care Medical Center PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CARROLLTON FIRST CARE MEDICAL CENTER PLLC

Practice address

2625 Old Denton Rd Ste 415
Carrollton, TX 75007-5112

Phone

(972) 242-3361

Fax

(972) 242-5678

NPI assigned

Nov 11, 2021

Last updated

Nov 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jong Yoo, MDNPI 1932111614

Title

Owner

Phone

(541) 531-3990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Jong Hyeon Yoo, M.D.

  • Internal Medicine Physician
  • Carrollton, TX
  • NPI 1932111614
  Medicare reassignment NPD Authorized official
• Paula Cho, NP

  • Adult Health Nurse Practitioner
  • Carrollton, TX
  • NPI 1881530020
  NPD (past)
• Hun K. Lee, M.D.

  • Family Medicine Physician
  • Carrollton, TX
  • NPI 1659413706
  NPD (past)

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1851057079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 OLD DENTON RD STE 415",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075112",
            "telephone_number": "972-242-3361",
            "fax_number": "972-242-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 OLD DENTON RD STE 415",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075112",
            "telephone_number": "972-242-3361",
            "fax_number": "972-242-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON FIRST CARE MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-531-3990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrollton Anesthesia Consultants
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• Carrollton Chiropractic and Massage PLLC
• Carrollton Counseling and Wellness, PLLC
• Carrollton Enterprises Co.
• Carrollton Foot Center, PLLC
• Carrollton Health Care Center LTD Co (The Madison on Marsh)
• Carrollton Injury Rehab
• Carrollton Kinesiology & Chiropractic Health Center
• Carrollton Medical Center

• Internal Medicine Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.