FIRST STATE FAMILY PRACTICE, INC (NPI# 1821172834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821172834 |
| Entity Type | Organization |
| Organization Name | FIRST STATE FAMILY PRACTICE, INC |
| Practice Address |
222 Carter Dr Suite 101 Middletown DE 19709-5854 |
| Practice Telephone | 3023785494 |
| Practice Fax Number | 3023781760 |
| Mailing Telephone | 3023785494 |
| Mailing Fax Number | 3023781760 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-03-19 |
| Authorized Official Name | JOHN KEHAGIAS (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 3023785494 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C10006722 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | AETNA | 3157375 | 01 |
| DE | RAILROAD MEDICARE | 080195041 | 01 |
| DE | AMERIHEALTH PPO | 1463747 | 01 |
| DE | DPCI | 1000021662 | 01 |
| DE | AMERIHEALTH HMO | 2148253000 | 01 |
| DE | 1000021662 | 05 |
| Street Address |
222 CARTER DR SUITE 101 |
| City | MIDDLETOWN |
| State | DE |
| Zip Code | 19709-5854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043621543 | Aimee Nacrelli | Nurse Practitioner | 222 Carter Dr, Ste 101, Middletown, DE 19709-5856 | 2014-05-19 |
| 1184047367 | Kristen Stuart | Physician Assistant | 222 Carter Dr, Suite 101, Middletown, DE 19709-5854 | 2014-01-24 |
| 1639464456 | Kate M Olson | Physician Assistant | 222 Carter Dr, Ste 101, Middletown, DE 19709-5856 | 2011-06-09 |
| 1689862492 | Bayview Internal Medicine, Inc | Internal Medicine | 222 Carter Dr, Suite 103, Middletown, DE 19709-5854 | 2007-10-05 |
| 1497839419 | Ioannis Kehagias | Family Medicine | 222 Carter Dr, Ste 101, Middletown, DE 19709-5854 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249797 | Lucinda M Cadet | Social Worker | 600 N. Broad Street, Suite 5, #768, Middletown, DE 19709 | 2020-09-11 |
| 1447870118 | Adella Sangarie | Licensed Practical Nurse | 712 Wood Duck Ct, Middletown, DE 19709 | 2020-04-22 |
| 1336600535 | Nathan Lo | Student in an Organized Health Care Education/Training Program | 937 Whispering Trail, Middletown, DE 19709 | 2019-03-29 |
| 1629559554 | Acceptance Counseling, LLC | Social Worker | 115 N. Broad St, Ste 1, Middletown, DE 19709 | 2018-08-28 |
| 1356844492 | Eden Hill Expresscare, LLC | Clinic/Center | 749 Middletown Warwick Road, Middletown, DE 19709 | 2018-03-15 |
| 1740782135 | Angela L Robinson | Counselor | 5350 Summit Bridge Rd Ste 103, Middletown, DE 19709 | 2018-03-02 |
| 1417456492 | Metanoia Counseling, LLC | Clinic/Center | 101 West Park Place, Middletown, DE 19709 | 2018-02-06 |
| 1275031114 | Nicole Brody Gomes | Physical Therapist | 210 Cleaver Farms Rd, Ste 1, Middletown, DE 19709 | 2018-01-25 |
| 1972012383 | Raymond Robert Solinger | Physical Therapist | 210 Cleaver Farms Rd Ste 1, Middletown, DE 19709 | 2017-09-28 |
| 1811432008 | Leslie Nkansah | Pharmacist | 367 Ellenwood Drive, Middletown, DE 19709 | 2016-12-27 |
| Find all providers in zip 19709 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932748746 | Khalilah Williams-perry | Family Medicine | 20 Tammy Dr, Middletown, NY 10941-2052 | 2019-12-26 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1841787652 | Southcoast Physicians Group, Inc. | Family Medicine | 670 Aquidneck Avenue, Middletown, RI 02841 | 2018-04-17 |
| 1952832164 | Emmet Theodore Fenichel | Family Medicine | 18 Leonardville Rd, Middletown, NJ 07748-2311 | 2017-03-21 |
| 1346604774 | Austin James Williams | Family Medicine | 6147 State Route 122, Ste 200, Middletown, OH 45005-5201 | 2016-04-12 |
| 1174965412 | Home Medical Office, P.C. | Family Medicine | 18 Orchard St Ste 100, Middletown, NY 10940-5005 | 2013-07-29 |
| 1801121991 | Pamela Jean Hanson | Family Medicine | 4421 Roosevelt Blvd Ste A, Middletown, OH 45044-9024 | 2009-10-07 |
| 1053542068 | Jenny Q. Lu, M.d., Pllc | Family Medicine | 75 Crystal Run Rd Ste 105, Middletown, NY 10941-7003 | 2009-08-07 |
| 1396974556 | Mvhe Inc | Family Medicine | 253 N Breiel Blvd, Middletown, OH 45042-3807 | 2009-07-09 |
| 1073794665 | Zoila Cartaya | Family Medicine | 345 Stony Ford Rd, Middletown, NY 10941-3952 | 2007-11-25 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 19709 |
Please comment or provide details below to improve the information on FIRST STATE FAMILY PRACTICE, INC.
| 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.