FIRST INTERMED CORPORATION


Address: 106 Lake Vista Place, Brandon, MS 39047-0000
Phone: 6019192924

FIRST INTERMED CORPORATION (NPI# 1952604811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952604811
Entity Type Organization
Organization Name FIRST INTERMED CORPORATION
Other Organization Name MEA MEDICAL CLINICS
Practice Address 106 Lake Vista Place
Brandon
MS 39047-0000
Mailing Address 308 Corporate Dr
Ridgeland
MS 39157-8803
Practice Telephone 6019192924
Mailing Telephone 6018987500
Enumeration Date 2010-12-15
Last Update Date 2010-12-30
Authorized Official Name SAM SCOTT (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 6018987525
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS BUSINESS LICENSE 4746 01

Other Provider/Organization Names

Other Name Type Code
MEA Medical Clinics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275992786 First Intermed Corporation Family Medicine 804 Highway 51, Madison, MS 39110-8404 2016-02-12
1861772105 First Intermed Corporation Family Medicine 4204 Clay Street, Vicksburg, MS 39183-0000 2011-08-18
1326170218 First Intermed Corporation Family Medicine 112 South Lake Circle, Canton, MS 39046 2007-03-09
1346275310 First Intermed Corporation Family Medicine 323 Highway 51, Ridgeland, MS 39157 2006-07-11
1801820808 First Intermed Corporation Family Medicine 1777 Ellis Ave, Jackson, MS 39204-3616 2006-07-10
1932133931 First Intermed Corporation Family Medicine 507 Lakeland Pl, Brandon, MS 39047-8257 2006-07-10
1639103625 First Intermed Corporation Family Medicine 342 Gilchrist Dr, Pearl, MS 39208-6671 2006-07-10
1376577379 First Intermed Corporation Family Medicine 498 Highway 80 E, Clinton, MS 39056-4720 2006-07-10
1275567281 First Intermed Corporation Family Medicine 7300 S Siwell Rd, Byram, MS 39272-9772 2006-07-10
1346274354 First Intermed Corporation Family Medicine 1132 Highway 49 S, Richland, MS 39218-9446 2006-07-10

Office Location

Street Address 106 LAKE VISTA PLACE
City BRANDON
State MS
Zip Code 39047-0000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396368783 Siyuan Chen Kennedy Counselor 108 Sandstone Drive, Brandon, MS 39047 2020-05-20
1568019784 Juarez Brown Emerson Registered Nurse 426 Pinebrook Circle, Brandon, MS 39047 2019-08-22
1649764127 Specialty Diagnostics LLC Family Medicine 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 2018-06-19
1528423035 Kathlene Strangeman Social Worker 111 Lakeshore Dr Apt G403, Brandon, MS 39047 2015-12-28
1174935076 Anthony Davis Counselor 198 Bellegrove Cir, Brandon, MS 39047 2014-05-27
1144659178 Medical Foundation of Central Ms, Inc Family Medicine 1887 Spillway Rd., Brandon, MS 39047 2013-11-12
1437429941 Picton Timothy Evans Pharmacist 150 B Cumberland Ed, Brandon, MS 39047 2012-01-01
1275828030 Kathryn Audell Piburn Nurse Practitioner 1887 Spillway Rd Ste 140, Brandon, MS 39047 2011-06-09
1801930532 Susanne Reynolds Moore Dentist 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 2007-02-16
1194898429 Brookshire Grocery Company Durable Medical Equipment & Medical Supplies 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 2006-11-16
Find all providers in zip 39047

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952900581 Maegan Cook Bridges Family Medicine 312 Ridge Pointe Dr, Brandon, MS 39042-5035 2020-10-24
1346887353 Kelli Marie Foster Family Medicine 515 Belle Oak Pl, Brandon, MS 39042-8111 2019-12-09
1649764127 Specialty Diagnostics LLC Family Medicine 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 2018-06-19
1033566161 Medi Brandon LLC Family Medicine 203 W Bloomingdale Ave, Brandon, FL 33511-7404 2016-05-18
1144659178 Medical Foundation of Central Ms, Inc Family Medicine 1887 Spillway Rd., Brandon, MS 39047 2013-11-12
1457780637 Jennifer Packing-ebuen Family Medicine 426w Brandon Blvd, Brandon, FL 33511-5002 2013-11-07
1548698608 St Dominic Medical Associates LLC Family Medicine 1297 West Government Street, Brandon, MS 39042 2013-10-28
1265780910 Uc1, LLC Family Medicine 799 Lumsden Rd, Brandon, FL 33511 2012-08-28
1992082721 Mathew Medical Consulting Pa Family Medicine 635 Tuscanny St, Brandon, FL 33511-6165 2011-11-08
1003192246 Sandra Dorsey Family Medicine 122 South Moon Avenue, Brandon, FL 33511 2011-11-02
Find all providers in BRANDON

Competitor

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City BRANDON
Zip Code 39047

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Dataset Information

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.

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