First Choice Endocrinology LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

FIRST CHOICE ENDOCRINOLOGY LLC

Practice address

8837 Goodbys Executive Dr
Jacksonville, FL 32217-4605

Phone

(904) 990-0555

Fax

(904) 990-0551

NPI assigned

Jan 29, 2019

Organization subpart

No

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

Authorized official

Name

Wasim Deeb, MDNPI 1881700698

Title

Owner

Phone

(904) 990-0555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBJGBD

Practitioners 4

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

• Wasim E Deeb, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Jacksonville, FL
  • NPI 1881700698
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Meszaros, PA

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1225969538
  Medicare reassignment Care Compare group
• Chelsea Brouillet, DNP, FNP-BC

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1023736196
  Medicare reassignment NPD
• Lindsay Choate

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1760851521
  Medicare reassignment

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1972067528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8837 GOODBYS EXECUTIVE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174605",
            "telephone_number": "904-990-0555",
            "fax_number": "904-990-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8837 GOODBYS EXECUTIVE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174605",
            "telephone_number": "904-990-0555",
            "fax_number": "904-990-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "DEEB",
        "authorized_official_first_name": "WASIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-990-0555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• First Care Inc
• First Choice Adult Daycare and Home Health Ca
• First Choice Home & Health Services LLC
• First Choice Laboratory LLC
• First Choice Reliable Transport LLC
• First Coast Aging in Place Solutions Inc
• First Coast Allergy and Asthma PA

• Endocrinology, Diabetes & Metabolism Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.