FIRST CARE MEDICAL CLINIC (NPI# 1558487991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558487991 |
| Entity Type | Organization |
| Organization Name | FIRST CARE MEDICAL CLINIC |
| Other Organization Name | FIRST CARE MEDICAL CLINIC |
| Practice Address |
210 West Main Street Locust NC 28097 |
| Mailing Address |
404 S Sutherland Ave Monroe NC 28112-5060 |
| Practice Telephone | 7048886156 |
| Mailing Telephone | 7048886156 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | BENEDICT O OKWARA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7048886156 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 0259H | 01 |
| NC | GROUP MEDICARE # | 2326436 | 01 |
| NC | 890259H | 05 |
| Other Name | Type Code |
|---|---|
| FIRST CARE MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427260108 | First Care Medical Clinic | Pediatrics | 7884 Idlewild Road, Indiantrail, NC 28079 | 2007-05-04 |
| 1639295074 | First Care Medical Clinic | Emergency Medicine | 2938 The Plz, Charlotte, NC 28205-2463 | 2007-03-21 |
| 1417072927 | First Care Medical Clinic | Emergency Medicine | 1426 E Main St, Albemarle, NC 28001-5236 | 2007-03-21 |
| 1285759605 | First Care Medical Clinic | Podiatrist | 9040 Nations Ford Rd, Charlotte, NC 28273-5716 | 2007-03-21 |
| 1184688681 | First Care Medical Clinic | Internal Medicine | 311 South 4th Street, Gadsden, AL 35901-5212 | 2006-04-13 |
| 1609148998 | First Care Medical Clinic | Emergency Medicine | 812 W Innes St, Salisbury, NC 28144-4152 | 2012-02-01 |
| 1881989192 | First Care Medical Clinic | Podiatrist | 1462 Constitution Blvd, Rock Hill, SC 29732-3075 | 2011-06-15 |
| 1639460108 | First Care Medical Clinic | Emergency Medicine | 2450 Aberdeen Blvd, Gastonia, NC 28054-0644 | 2011-05-02 |
| Street Address |
210 WEST MAIN STREET |
| City | LOCUST |
| State | NC |
| Zip Code | 28097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477906063 | Amanda Tucker Queen | Massage Therapist | 117 Renee Ford Rd, Locust, NC 28097 | 2016-07-19 |
| 1184841280 | Community Pharmacy of Locust LLC. | Durable Medical Equipment & Medical Supplies | 236 Market Street, Suite 100, Locust, NC 28097 | 2007-04-19 |
| 1417160177 | Jason E. Martin, Dds, Pa | Dentist | 236 Market Street, Suite 200, Locust, NC 28097 | 2007-05-08 |
| 1639778905 | Intentional Growth Behavioral Health Services, Pllc | Social Worker | 544 Contentment Dr, Locust, NC 28097-0045 | 2020-10-19 |
| 1356575005 | Raymond Ross Perez | Family Medicine | 236 Market St Ste 110, Locust, NC 28097-1312 | 2009-05-11 |
| 1356358576 | Robert Lee Seymour | Dentist | 403 S Central Ave, Locust, NC 28097-7142 | 2006-08-01 |
| 1639618713 | Wael Zeitouni, Dds, Pllc | Dentist | 403 S Central Ave, Locust, NC 28097-7142 | 2017-02-22 |
| 1912131384 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1876 Main St W, Locust, NC 28097-7700 | 2009-05-13 |
| 1093926503 | Jan Gail Hardcopf -bickley | Occupational Therapist | 1800 Main St W, Locust, NC 28097-7700 | 2007-05-25 |
| 1528604907 | Bernard Nelson | Pharmacist | 1876 Main St W, Locust, NC 28097-7700 | 2019-11-21 |
| Find all providers in zip 28097 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114105533 | Novant Medical Group, Inc. | Internal Medicine | 236 Market St, Suite 110, Locust, NC 28097-9439 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475474 | Fhpg, LLC | Internal Medicine | 1690 Us Highway 1 S Ste 300, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1104431725 | Progress Medical, Pllc | Internal Medicine | 2104 Talmage Dr, Leland, NC 28451-9340 | 2020-09-10 |
| 1568076222 | Raleigh Holistic Healthcare | Internal Medicine | 875 Walnut St Ste 275-9, Cary, NC 27511-4215 | 2020-09-01 |
| 1346852407 | Wake Specialty Physicians | Internal Medicine | 2001 S Main St Ste 200, Wake Forest, NC 27587-1652 | 2020-08-20 |
| 1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1417566779 | Old Town M.d. | Internal Medicine | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 | 2020-07-23 |
| 1174141683 | Telepartners for Integrated Health | Internal Medicine | 9413 Tillot Dr, Matthews, NC 28105-1567 | 2020-07-10 |
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.