Organization Active NPI

Firsthand Health Clinical of TN

  • Internal Medicine Physician
  • Brentwood, TN
National Provider Identifier
1972254662
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FIRSTHAND HEALTH CLINICAL OF TN
Practice address
6757 Walnut Hills Dr
Brentwood, TN 37027-7812
Phone
(781) 718-5377
NPI assigned
Jan 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Samir Malik
Title
Treasurer
Phone
(314) 578-5416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

6757 Walnut Hills Dr
Brentwood, TN 37027-7812

Mailing address

205 Hudson St FL 8
New York, NY 10013-1836
Phone (781) 718-5377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1972254662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HUDSON ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131836",
            "telephone_number": "781-718-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 WALNUT HILLS DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277812",
            "telephone_number": "781-718-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTHAND HEALTH CLINICAL OF TN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "314-578-5416"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.